tci E/M Coding Alert - 2015 Issue 5

You Be the Coder: Unravel Intensive and Critical Codes for Neonate on Same Day

Question: My doctor saw a neonate early in the morning. Later that day her condition worsened and she was moved to the critical care unit where another physician within our practice saw her. How do I report these services? West Virginia Subscriber  Answer:  Your first doctor would have billed for the initial visit for the neonate. However, when the second doctor saw the patient in the critical care area, presuming he conducted critical services, he would bill a critical care service.  Doctor A could report 99477 (Initial hospital care, per day, for the evaluation and management of...

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