Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Pediatrics
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 03-29-2012, 04:27 PM
missy874 missy874 is offline
Guru
 
Join Date: Apr 2007
Location: Albany
Posts: 155
missy874 is on a distinguished road
Default 99464

Have I made something up in my mind? I have this vague idea in my head that I heard/read this somewhere and now cannot find documentation for it....

If a hospital has a policy that they want an NICU NP at every cesearean (regardless of med necessity) can they actually bill for attendance at delivery if there is nothing wrong with the mom or fetus?

I completely understand if there are problems with mom or baby, but I thought I read somewhere that if a provider is there just because its policy, that they couldnt bill???

Am I crazy?

Thanks
__________________
Melissa Tescher, CPC, CPMA, CEMC
Reply With Quote
  #2  
Old 04-18-2012, 09:57 AM
Jane Young CPC Jane Young CPC is offline
Networker
 
Join Date: Apr 2007
Location: Charm City - Baltimore, MD
Posts: 98
Jane Young CPC is on a distinguished road
Default

No you are not crazy. A c-section is often the reason our neonatologists are called in for attendance. There is usually a reason (and dx) for the c-section. There are some dx for mom that translate into codes for the baby.

Check these out in the ICD9:
Oligohydramnios
Polyhydramnios
Premature seperation of placenta
Chorioamnionitis
Fetal Distress
diabetes


I hope this helps.
__________________
Always Seeking
Reply With Quote
  #3  
Old 04-18-2012, 03:30 PM
acw acw is offline
Networker
 
Join Date: Apr 2007
Posts: 26
acw is on a distinguished road
Default

I code for NICU NNPs for attendance at delivieries ONLY when there is medical necessity for it and the Physician requests their attendance and why. We have a protocol at the hospital where I work that all c-sections will be attended by NICU NNPs regardless of complications or not. When there are no complications in the mother or the baby (say for elective or repeat c-sections), we do not code 99464. I hope this helps.
Annette, CPC, CEMC
Reply With Quote
  #4  
Old 04-19-2012, 10:07 AM
acw acw is offline
Networker
 
Join Date: Apr 2007
Posts: 26
acw is on a distinguished road
Default

Additional information on 99464: CPT Assistant August 2004 Page 9: Last paragraph: "...99464 Attendnace at delivery (when requested by delivering physician)...code includes initial drying, stimulation, suctioning, blow by oxygen and cursory visual inspection of the infant."

I hope this is helpful too.
Annette W., CPC, CEMC
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 11:27 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC