Pediatric Coding Alert
Take Off With 99289-99290 Road Rules
Ohio Subscriber
Answer: Only physicians may report CPT transportation codes (99289, Critical care services delivered by a physician, face-to-face, during an interfacility transport of a critically ill or critically injured pediatric patient, 24 months of age or less; first 30-74 minutes of hands-on care during transport; and +99290, ... each additional 30 minutes [list separately in addition to code for primary service]). Because the AMA developed the codes for critical care services delivered by a physician, the work relative value units reflect the level of work a pediatrician, not a nonphysician practitioner (NPP), such as an NP, performs.
Pediatric Coding Alert
- 6 Simple Steps Help You Pin Down Reimbursement for Screening Tests
Don't let frequent denials stop you from coding a vision acuity screening test (99173) with [...] - Should You Always Fight for 99173 Coverage? Get the Lowdown on Which Denials You Should Appeal
When billing CPT 99173 , 99382-99383 and 99392-99393, knowing what to expect from payers [...] - Stuck in an Under-Reimbursement Rut? Try These 3 Urgent-Care Coding Tips
Failing to report CPT 99058 when your pediatrician interrupts her schedule to provide [...] - Using 99381-99397-52 for Sports Exams? CPT Rules May Surprise You
Before lack of coverage for sports physicals pushes you into using creative coding strategies, get [...] - You Be the Coder:
Tissue Adhesive Code Depends on Insurer
Question: My pediatrician used Dermabond to close a superficial 2.0-cm laceration on a childs arm. [...] - Reader Question:
Identify Changing Anatomy
Question: Which ICD9 Codes should I use for increased or decreased head circumference in an [...] - Reader Question:
Take Off With 99289-99290 Road Rules
Question: When a nurse practitioner (NP) without a physician present accompanies a critically ill baby [...] - Reader Question:
Roll Ear-Wick Placement Into E/M Service
Question: Which code should I assign for inserting a wick in a childs ear?
Georgia Subscriber [...] - Reader Question:
Know the Ins of Foreign-Body Removal
Question: A pediatrician sees a patient in the office and removes a belly-button ring that [...] - Reader Question:
Keep Billing E/M With 90471-90474
Question: In a pediatric office, is it correct to code CPT 99211 -25 with [...] - Reader Question:
Fussy-Baby Code Allows Accurate Reporting
Question: How should we code for a fussy baby?
Colorado Subscriber
Answer: You should report - Think Youve Made Your Case for Modifier -22? Not if You Havent Done These 5 Things
If you're submitting a claim for modifier -22 (Unusual procedural services) without first determining how [...] - You Be the Expert:
Choose Your Coding Poison Based on Documentation
Question: How should I decide whether managing excessive bleeding that requires extra physician time and [...]
