LPou1003
Contributor
Good afternoon,
I work at a community health center and we have Internal medicine, Family practice, OB/GYN and Pediatrics. I am not yet specialized in pediatrics.
I had a pediatric provider ask me what codes he should be using for transporting a patient to NICU at a different facility in a different city.
Our providers never travel with the patients to the other facility. So I advised the provider to code 99485 and 99486 for non face to face transport. He normally treats the patient to stabilize them prior to transport. So i am currently looking into what codes he should be using for that time he is treating the patient.
I looked at the CPT book under 99468-99476 and under excludes, it says "Services performed by transferring individual, prior to transfer of a patient, to a different individual in a different group use (99221-99223 or 99291-99292 or 99460-99462 or 99477-99480)
I then referred to 99291 and 99292 and saw that under excludes, it states "inpatient critical care services provided to neonates that are age 28 days or less use (99468-99469).
I was wondering what codes I should be using. In both it states that the provider should be coding the other set of codes.
if you need an example of the situation, please ask and I will upload it.
Any feedback would be helpful.
Thanks,
Leslie
I work at a community health center and we have Internal medicine, Family practice, OB/GYN and Pediatrics. I am not yet specialized in pediatrics.
I had a pediatric provider ask me what codes he should be using for transporting a patient to NICU at a different facility in a different city.
Our providers never travel with the patients to the other facility. So I advised the provider to code 99485 and 99486 for non face to face transport. He normally treats the patient to stabilize them prior to transport. So i am currently looking into what codes he should be using for that time he is treating the patient.
I looked at the CPT book under 99468-99476 and under excludes, it says "Services performed by transferring individual, prior to transfer of a patient, to a different individual in a different group use (99221-99223 or 99291-99292 or 99460-99462 or 99477-99480)
I then referred to 99291 and 99292 and saw that under excludes, it states "inpatient critical care services provided to neonates that are age 28 days or less use (99468-99469).
I was wondering what codes I should be using. In both it states that the provider should be coding the other set of codes.
if you need an example of the situation, please ask and I will upload it.
Any feedback would be helpful.
Thanks,
Leslie