Common Billing Mistakes: MSP Fee Code 00082

In this series we're covering common billing mistakes and how to avoid them. This will save you from potential headaches with rejected billings, and help you get paid for your services faster.

Last time we looked at MSP fee code 00081 – today we'll continue with 00082 (Critical care monitoring)

When to bill this code

Doctors can bill 00082 when providing exclusive beside monitoring of an unstable patient.

Tips for billing & mistakes to avoid

00082 is billable for total bedside monitoring only. 

It is NOT payable for:   

  • Managing the patient's family
  • Discussion with other health care professions
  • Arranging transfers.
  • Call out or continuing care not payable with critical care fee codes.

The note section for your claim must be concise. Keep it under 20 characters to get it paid faster. You must indicate what body systems were being monitored (must be for total bedside monitoring).

Keep is short! For example:

  • Respiratory
  • Anaphylaxis
  • Dysrhythmia
  • Hyper/hypoglycemic
  • Hyper/Hypotensive
  • Hypoxic
  • Septic
  • Seizures
  • Shock
  • Trauma

Reason for rejections:

  • This code is billable in 30 minute blocks and you must state what critical care monitoring was done. Often physicians comment about arranging transfers, or discussion with colleagues, or ordering of tests. This is NOT billable for continuous bedside since your focus is not directly on the patient. These statements should be avoided.
  • Billing more than one unit of 00082. You must indicate in the note section what was done during each 30 minute block, or it will be refused by MSP as they will ask for more details. 
    Note/comment example: “1600-1630 – respiratory, lungs, 1630-1700 – cardiac, vitals” (so MSP pays both units)