AMA CPT® Assistant - 2015 Issue 2 (February)

Evaluation and Management: Inpatient Neonatal Pediatric, Neonatal Critical Care Services (Q&A) (February 2015)

February 2015 page 10 Evaluation and Management: Inpatient Neonatal Pediatric, Neonatal Critical Care Services Question: A patient 5 years of age or younger was admitted to a hospital but becomes critically ill and is subsequently transferred to the Pediatric Intensive Care Unit of the hospital and managed by the same provider group of different specialty. Is it appropriate for the pediatric intensive care physician to report initial inpatient neonatal critical care services (code 99468 ) or subsequent inpatient neonatal critical care services (code 99476 )? Answer: No. It is not appropriate for the pediatric intensive care physician to report...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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