<unk>  illness or injury = illness or injury that impairs one or more "one or more vital organ systems such that there is a high probability of imminent or life threatening deterioration in the patient’s condition.”<unk> <unk>  services = direct medical<unk>  for the patient that involves “high complexity decision making to assess, manipulate, and support vital organ system failure.”
CMS additionally mandates that for medicare patients, "the failure to initiate these interventions on an urgent basis would likely result in sudden, clinically significant or life threatening deterioration in the patient's condition".
Time = total time spent evaluating, managing, and providing<unk>  to a<unk> ly ill patient. Does not have to be continuous. Includes direct patient<unk>  at bedside as well as time spent reviewing test results, discussing the case with consultants or family members, and documenting in the patient's chart.
CMS additionally mandates that for medicare patients, "the failure to initiate these interventions on an urgent basis would likely result in sudden, clinically significant or life threatening deterioration in the patient's condition".
Time spent in<unk> <unk>  activities must exceed 30 minutes in order to bill for<unk> <unk>  time.
CPT Code 99291 is used for the first 30-74 minutes of<unk> <unk>  time
CPT Code 99292 is used for additional blocks of time of up to 30 minutes beyond the first 74 minutes of<unk> <unk>  time
Must document either a specific time or, e.g., "in excess of 30 minutes".
Calculated time must exclude all separately billable procedures
These include (but are not limited to): central line or transvenous pacemaker placement, chest tube placement, endotracheal intubation, CPR.
CPT Code 99291 is used for the first 30-74 minutes of<unk> <unk>  time
CPT Code 99292 is used for additional blocks of time of up to 30 minutes beyond the first 74 minutes of<unk> <unk>  time
These include (but are not limited to): central line or transvenous pacemaker placement, chest tube placement, endotracheal intubation, CPR.
Critical care documentation
Mass casualty incident triage
Sign out tools
Field trauma triage
Documentation for emergency physicians
Physical exam documentation
Pediatric assessment triangle
Clinical decision rules list