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  1. Patricia Posted 1 Year(s) agoRelated Topics

    Hello, Please let me know how you bill a newborn in the hospital that is sick and not in NICU, but heart monitor, Labs for Hyperbilirubinemia, drug exposure. We are confused as to what to bill? Thanks for your help in advance, Patricia

  2. SuperCoder Posted 1 Year(s) ago

    Hi,

     

    As per the above documentation, appropriate code would be 99477, as the intensive services, such as heart monitor, laboratory had been performed.

    This code deals in the initial hospital intensive care, per day, for the evaluation and management of the ill neonate, 28 days of age or less, who requires intensive observation and monitoring. Infants of any present body weight who are not critically ill but continue to require intensive cardiac and respiratory monitoring, continuous and/or frequent vital sign monitoring, heat maintenance, enteral and/or parenteral nutritional adjustments, laboratory and oxygen monitoring and constant observation by the health care team under direct physician supervision.

     

    Also, care of new-borns who are not normal but do not require intensive services may be reported with codes for initial hospital care (99221-99223). 

     

    Hope that helps!

     

    Thank you

     

     

  3. Patricia Posted 1 Year(s) ago

    Good Afternoon, I am so sorry to bother you but now I am being told this is an NICU code. Please let me know if so... Thanks.

  4. SuperCoder Posted 1 Year(s) ago

    Hi,

     

    There are different code ranges for service rendered to the new born.

     

    For Inpatient Neonatal Intensive Care services and Paediatric and neonatal critical care services: 99466-99486

     

    Inpatient Neonatal and Paediatric critical care: 99468-99476

     

     

    As per your scenario, the new born was not in NICU; however, was sick and heart monitoring, laboratory was performed, for which, the appropriate code would be 99477, as this code deals with patients who are not critically ill, but requires, intensive care.

     

     

    Kindly refer the below link for more clarity.

     

    https://www.supercoder.com/coding-newsletters/my-family-practice-coding-alert/cpt-update-use-99477-to-capture-care-beyond-99223-article

     

    Thank you!

  5. Patricia Posted 1 Year(s) ago

    THANKS THIS IS WHAT I READ AND THE OFFICE MANAGER STATED IT WAS FOR THE NICU UNIT ONLY... THANKS AGAIN FOR YOUR HELP. PFD

  6. SuperCoder Posted 1 Year(s) ago

    Happy to help!

About this Question

  • Posted by 17957 Patricia, 1 Year(s) ago. There are 6 posts. The latest reply is from SuperCoder.