99292
Critical care addl 30 min
Additional critical-care time, reported with the initial critical-care service under the applicable payer threshold.
Published by RVUDoc. Numeric data: CMS RVU26D, effective 2026-10-01, checked 2026-10-03. Coding guidance reviewed 2026-09-23. Calculation limits and editorial policy.
Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.
Billing guidance for 99292 is locked
- When to use it: the exact clinical situations that support billing 99292
- Documentation checklist: the 4 elements your note needs before submitting
- Common pitfalls: the 3 mistakes that get 99292 downcoded or denied
Payer notes
For Medicare, the first additional unit begins at 104 total qualifying minutes and each further unit requires another full 30 minutes. Confirm other payer thresholds, practitioner attribution and non-overlapping time.
Related codes
These include alternative services and possible add-ons. Listing codes together does not establish that they can be billed together; check the applicable edits and payer policy.
See what 99292 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.