thefosterfarm
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I am hoping someone can give me a little help on this one. Family Physician delivers 39 week newborn, uncomplicated delivery, Apgars 8 and 8, at 1953.
During the night, infant exhibits desaturations into the 80's, but otherwise appears normal. By morning, the infant has been placed on O2, is tachypneic, with good muscle tone and color. DX: acute chf, with eventual dx being hypoplastic left heart. Baby transported to another facility with neonatal ICU at 1245 when infant is approx. 17 hours old.
My physician wants to bill for Initial newborn care (99431) and IP Neonatal Critical Care (99295).
I think that if we bill 99295, that is the only code we should bill. I am also afraid of billing the same services as the physician the infant was transferred to. I was wondering about billing 99477, which seems more appropriate.
If someone could give me some insight on their ideas, I would greatly appreciate it. Thanks!
During the night, infant exhibits desaturations into the 80's, but otherwise appears normal. By morning, the infant has been placed on O2, is tachypneic, with good muscle tone and color. DX: acute chf, with eventual dx being hypoplastic left heart. Baby transported to another facility with neonatal ICU at 1245 when infant is approx. 17 hours old.
My physician wants to bill for Initial newborn care (99431) and IP Neonatal Critical Care (99295).
I think that if we bill 99295, that is the only code we should bill. I am also afraid of billing the same services as the physician the infant was transferred to. I was wondering about billing 99477, which seems more appropriate.
If someone could give me some insight on their ideas, I would greatly appreciate it. Thanks!