99292

🎯 CPT Code 99292 Documentation & Billing Guide

Last Updated: February 2026
Status: 2025 Medicare Fee Schedule Compliant

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CPT 99292 - Critical Care (Add-on)

Description & Explanation: The “add-on” code for critical care time beyond the first 74 minutes.

• Usage: Use in addition to 99291.

• Time: Each additional 30 minutes (must pass 15 mins into the next block).

  • 75 - 104 min = 99291 + 99292 x1

  • 105 - 134 min = 99291 + 99292 x2

Code Tree:

• Evaluation and Management

  • Critical Care Services

    • 99292: Critical care, each additional 30 minutes

Technical Data:

• WRVU (2025): ~2.25

• Global Period: ZZZ (Add-on code; follows the global period of the primary code, usually XXX for Crit Care).

• Assistant Payable: No

Clinical Examples:

1. Prolonged Resuscitation: Physician spends 100 minutes total stabilizing a trauma patient with multiple bleeds and tension pneumothorax. Bill 99291 + 99292 (x1).

2. Multi-System Failure: Physician spends 4 hours (240 mins) continuously managing a post-arrest patient. Bill 99291 + 99292 (x5).