Pediatric Coding Alert

Reader Questions:

CPT 2010 Makes Resuscitation Guidance Clear

Question: There's a notation in the CPT 2009 manual that the neonatal critical care codes include delivery room resuscitation. Is this true? Illinois Subscriber Answer: No, a parenthetical note following 99465 (Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output) incorrectly stated that resuscitation could not be reported with other per day critical care services, said Peter A. Hollmann, MD,AMACPT editorial panel vice chair in the "Evaluation and Management" session at the AMACPT and RBRVS 2010 Annual Symposium in Chicago on Nov. 12. You can separately report 99465-25 (Significant, separately identifiable evaluation and management service provided by the same physician on the same day of the procedure or other service) provided the resuscitation in the delivery room is provided as a medically necessary service and not as a convenience prior to admitting the patient for critical care (99468, [...]
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