You Be the Coder:
Avoid the trap of 99360 with 99464
Published on Thu Apr 01, 2010
Question: Our provider spent about 30 minutes on stand-by for a scheduled cesarean delivery. The mom changed her mind about the C-section so our provider left. He was called back about two hours later because of fetal distress. The surgeon proceeded with a c-section. Our pediatrician was in attendance at the delivery and examined the baby; he didn't find any problems. He examined the baby for the next two days before the mom went home. How do we code this scenario?Connecticut SubscriberAnswer: Start with 99464 (Attendance at delivery [when requested by the delivering physician] and initial stabilization of newborn) for the delivery. Then add 99460 (Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant) for the initial well newborn evaluation.Report the next day's examination with 99462 (Subsequent hospital care, per day, for evaluation and management of normal newborn). Complete your claim with 99238 [...]