tci E/M Coding Alert - 2020 Issue Q1

You Be the Coder: Think Twice Before Prolonging Neonatal Intensive Care

Question: If we bill 99468 for neonatal intensive care, can we also bill a prolonged service code if a pediatrician spends an extensive amount of time at the neonatal intensive care unit (NICU) in face-to-face conferences with specialists and with the patient’s parents? Michigan Subscriber Answer: The guidelines accompanying 99468 (Initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger) note that “the pediatric and neonatal critical care codes include those procedures listed for the critical care codes (99291 [Critical care, evaluation and management...

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