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NICU coding 99465 arriving late for birth but providing needed interventions.

C

Carol N. Macklin

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5
Location
Lubbock, TX
Is 99465 billables if the provider arrives minutes after delivery but preforms lifesaving measures. Will this be more of a compliance issue with payer-specific guidance regarding 99465,99468 and any separately billable procedures.
  1. Present at delivery → 99465 consideration.
  2. Not present at delivery but performed active resuscitation → documentation requirements and coding review.
  3. NICU admission after stabilization → evaluate for 99468/99469 and procedure billing.
  4. Arrived after resuscitation completed → NICU admission or consultation services only.
How would any of you code this as a 99465 or consultation with NICU admission?
 
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