CPT^® 99472, Under Inpatient Neonatal and Pediatric Critical Care

The Current Procedural Terminology (CPT^®) code 99472 as maintained by American Medical Association, is a medical procedural code under the range - Inpatient Neonatal and Pediatric Critical Care.

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Summary

The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.

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Have a question about CPT Code 99472 ? Start a discussion here

Neonatal Critical Care/Prolonged Services

[QUOTE="mcanas@mams1.com, post: 460367, member: 563693"] Ok what happen if the doctors has conference with other specialist and have face to face conference with h the parents and the baby is in Ne... [ Read More ]

Neonatal Critical Care/Prolonged Services

Statement out of CPT " If the same individual provides critical care services for a neonate or pediatric patient in both outpatient and inpatient settings on the same day, report only the appropriate ... [ Read More ]

E/M coding for physician inpatient charges

[QUOTE="imcbmcc, post: 459309, member: 444553"] At our practice we have both pulmonologists and intensivists. Differently specialty but same group. When each of the providers sees same patient, inpati... [ Read More ]

E/M coding for physician inpatient charges

At our practice we have both pulmonologists and intensivists. Differently specialty but same group. When each of the providers sees same patient, inpatient, on same day are we able to bill out 99471... [ Read More ]

Claim denial for NCCI Edit- help please

Agreed, 99472 is only for use by the physician overseeing the care of the infant - this would probably be billed by the neonatologist and would not be separately payable to an anesthesiologist or othe... [ Read More ]

Claim denial for NCCI Edit- help please

[b]Claim denial for NCCI edit[/b] Anesthesia billing is a tricky adventure. if you have a CPT book there are Anesthesia Guidelines in the front of the anesthesia section that are very helpful. The 9... [ Read More ]

Modifier Help/Sedation

Hmmmm.... this just seems like a very odd situation to me. I don't code for anesthesia or pediatrics, but I would imagine it would be unusual for anyone other than an anesthesiologist to administer ... [ Read More ]

Modifier Help/Sedation

I am working on a denied claim for a physician. Initially, the physician performed a 99472 and later in the day also performed sedation for a diagnostic LP. The billing office billed the services o... [ Read More ]

Claim denial for NCCI Edit- help please

Hello~ I am wondering if someone would be able to help me with a claim denial. Our practice billed out 99472 with a modifier 25 for the provider. The same day the same provider provided sedation; t... [ Read More ]

PICC LINE billed with Neonatal ICU codes

[QUOTE="MBronowicki, post: 378987, member: 12852"]Can anyone help me with a billing issue. I have been questioned about billing a PICC line (36568) with 99469 or 99472. I need to confirm whether the... [ Read More ]

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