AMA CPT® Assistant - 2008 Issue 7 (July)

Evaluation and Management: Inpatient Neonatal and Pediatric Critical Care and Intensive Services (July 2008)

July 2008 page 10b Evaluation and Management: Inpatient Neonatal and Pediatric Critical Care and Intensive Services, 99293-99296 (Q&A) Question: What is the CPT definition of follow-up physician reevaluation of a critically ill pediatric or neonatal patient? Answer: Follow-up physician re-evaluations are considered patient revisits and re-evaluations on the same date. If a patient meets the CPT definition of "critical," the patient's inherent instability typically will require multiple encounters of variable duration during the 24-hour period. Not each of these encounters requires separate documentation. For this reason, codes 99293-99296 are reported only once per day, regardless of the...

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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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