How should we bill Medicare for active cardiopulmonary resuscitation (CPR) given to a patient who arrives at the emergency department (ED) and has a cardiac arrest on arrival? For example, should we bill critical care services or code 92950?


You should bill what the documentation supports. Critical care services (99291, 99292) require specific documentation. Although a patient in cardiac arrest would support critical care, the critical care time and the documentation must support those codes. Code 92950 may also be reported with or without critical care.

The bottom line is that it really depends on what the provider was doing. If he or she was actively performing the CPR, then that is the code (along with critical care and/or the ED visit) should be billed. Note that only one provider can bill for critical care. Many times, there are multiple providers in the room; however, the critical care time cannot “overlap” between providers.



CPT® copyright 2021 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.