• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Code 99477

ARCPC9491

True Blue
Messages
700
Location
Stafford, VA
Best answers
0
Does anyone have experience with 99477?

Would phototherapy be justified? They need to be watched closer than normal, ie, getting extra glucoses, watching their temp. etc.

I want to be sure because the reimbursement is way higher. The reimbursement is $313 vs $30 for sub care!!:p
 
99477

According to the "Coding for Pediatrics", if the child is in NICU, and is having phototherepy and thermal support, this justifies using this code.
 
Only INITIAL care

The description of the code states "Initial hospital care, per day ..." so I believe this can only be billed for the admit day. The "per day" qualifier also means that it is intended to cover all cares for a 24-hour period.

After that initial care, if the neonate is neither cricially ill, nor low-birth weight and requiring intensive monitoring, you would report subsequent hospital visits 99231-33.

F Tessa Bartels, CPC, CPC-E/M
 
Top