AMA CPT® Assistant - 1997 Issue 4 (April)

Evaluation and Management, 99360, 99431 (Q&A) (April 1997)

April 1997 page 10a Coding Consultation Evaluation and Management, 99360, 99431 (Q&A) Question A pediatrician is requested by an obstetrician to "standby" during an attempted VBAC (the patient subsequently delivers by cesarean delivery). Following this one hour of standby service, the pediatrician examines the newborn. Can both the standby service and the examination of the newborn be reported? AMA Comment Yes, both services should be reported. Code 99360 (x2) for each 30 minutes of standby care, and 99431, history and examination of the infant are reported. Since the pediatrician did not perform a procedure subject to a "surgical...

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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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