Neonatal Critical Care + Consultation

venitacason

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Hallendale Beach, Florida
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Good afternoon,

Scenario 1
When a neonatal patient (<28-days) requires critical care services (99468, 99469) and the critical care physician requests a consult from a physician of a different group and different specialty - what CPT would the consulting physician submit? Would the requesting critical care physician require a modifier of any kind with his/her 99468, 99469 codes?

Scenario 2
When a neonatal patient (<28 days) requires critical care services (99468, 99469) and the critical care physician requests a consult from a physician of a different group and same specialty - what CPT would the consulting physician submit? Would the requesting critical care physician require a modifier of any kind with his/her 99468, 99469 codes?

Thank you in advance for your help! It is much appreciated!
Venita Popoca
 
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