AMA CPT® Assistant - 2021 Issue 12 (December)

Frequently Asked Questions (December 2021)

December 2021 pages 19-20 Frequently Asked Questions Evaluation and Management (E/M): Hospital Inpatient Services Question: How should subsequent day intensive care services be reported for an infant exceeding the weight limit specified in the descriptor of code 99480? Answer: Currently, the Current Procedural Terminology (CPT®) 2022 code set does not have a subsequent day intensive care code for an infant whose weight exceeds 5000 grams. If the infant does not require critical care services, subsequent hospital care codes 99231-99233 may be reported based on either the level of documented key components (eg, interval history, examination, level of medical...

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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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