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Critical care services are medical services provided to critically ill or injured patients who require close monitoring and life-supporting interventions. These services involve high-complexity decision-making to treat single or multiple vital organ system failures or prevent further life-threatening deterioration. Key Components of Critical Care Services: - Direct Delivery: Critical care services are delivered directly by a physician or qualified healthcare professional. - High Complexity Decision-Making: Treatment involves complex decision-making to manage vital organ system failures. - Life-Supporting Interventions: Services include interventions like ventilator management, vascular access procedures, and interpretation of cardiac output measurements. Reporting Critical Care Services: - Time-Based Coding: Critical care services are reported based on the total duration of time spent providing care, which can be continuous or aggregated. - CPT Codes: Use codes 99291 (first 30-74 minutes) and 99292 (each additional 30 minutes) to report critical care services. - Documentation: Progress notes must document the total time spent providing critical care services and the medical necessity of the services.