March 24, 2022 @ 12:00 pm (EST)
CMS made significant changes to critical care coding effective in 2022. Not only did CMS adopt CPT prefatory language and rules, they did a 180 degree turn on allowing non-physician practitioners (NPPs) and physicians of the same specialty, in the same group to perform critical care as a split/shared visit. CMS developed a HCPCS modifier for shared services, that must be applied to the claim, and the claim must be submitted under the provider number of the practitioner who performed the substantive portion of the service. CMS developed a HCPCS modifier for unrelated critical care in the post op period. This webinar will describe when that modifier should be used.
After the webinar, participants will be able to:
- Describe what modifier to use for shared services
- Know how CMS determines the substantive portion of the service for critical care
- Assess when a separate E/M service may be reported on the same day with critical care