Critical care and diagnostic services billing relies on precise time documentation and correct use of professional and technical components. Small gaps in time records or modifiers can lead to denials on high-value claims.
Respiratory failure
Sepsis and shock
Cardiac emergencies
Trauma
Stroke
Multi-organ dysfunction
Post-operative ICU care
Radiology, pathology and laboratory diagnostics
| Code | Description |
|---|---|
| 99291 | Critical care, first 30–74 minutes |
| 99292 | Critical care, each additional 30 minutes |
| 99221–99223 | Initial hospital inpatient or observation care |
| Modifier 26 | Professional component of a diagnostic service |
| Modifier TC | Technical component of a diagnostic service |
Clear time statements and correct component billing are essential for critical care claims. Our team reviews coding, submits clean claims, follows up on denials and recovers unpaid accounts receivable for critical care and diagnostic practices.