decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 7 (July)
Critical care transmittal mentions “neonatal,” but doesn’t apply to peds
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Article Overview
This article reviews a CMS transmittal titled around critical care and neonatal intensive care, while clarifying that the notice is limited to Medicare critical care coverage and does not change pediatric or neonatal critical care policy. It is relevant to coders, billing staff, and pediatric practices that need to understand the scope of the transmittal, the code families mentioned, and CMS’s reference to CPT/AMA guidance for younger patient populations.
Why This Topic Matters
Readers need to know whether the transmittal changes coding or billing for neonatal and pediatric critical care, and whether its scope reaches beyond the Medicare critical care codes discussed in the notice.
What You Will Learn
- The scope of the CMS transmittal and what it addresses
- Which critical care code families are mentioned in the notice
- How the article frames the relationship between Medicare guidance and CPT/AMA guidance
- Why the transmittal title could be confusing for pediatric and neonatal coding audiences
Who Should Read This
- Medical coders
- Billing staff
- Pediatric practice administrators
- Critical care providers
- Compliance staff
Codes Discussed
Code Ranges Discussed
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