dpeterson39
Contributor
Hey all, need some thoughts on NB care:
I understand that we are able to bill both a code from series 99460-99463 and 99221-99233, respectively for initial date of service or subsequent date with the -25 modifier if the baby develops an illness later in the day following the normal NB care. However; if a patient is ill and seen for both normal care and ill care during the same rounding can we spilt bill both codes? It would appear that the RVU in the 99221-99233 series does not include the RVU of codes from series 99460-99463. I also checked the NCCI and see no bundling which leads me to think that the Physicians are able to report both codes to capture their work appropriately.
Any thoughts or accredited information would be much appreciated. I have reviewed CPT Changes 2009, Ingenix Learning: Understanding E/M Coding 2009, CPT Principles 5th addition (of course with out the 2009 codes ), CPT Assistant March09 Volume 19, Issue 3, The Coding Institute, the AAP (limited access), and the AAFP (limited access).
I think the next step is to query the AMA on it but thought I'd check with my fellow Coders at the AAPC first.
I understand that we are able to bill both a code from series 99460-99463 and 99221-99233, respectively for initial date of service or subsequent date with the -25 modifier if the baby develops an illness later in the day following the normal NB care. However; if a patient is ill and seen for both normal care and ill care during the same rounding can we spilt bill both codes? It would appear that the RVU in the 99221-99233 series does not include the RVU of codes from series 99460-99463. I also checked the NCCI and see no bundling which leads me to think that the Physicians are able to report both codes to capture their work appropriately.
Any thoughts or accredited information would be much appreciated. I have reviewed CPT Changes 2009, Ingenix Learning: Understanding E/M Coding 2009, CPT Principles 5th addition (of course with out the 2009 codes ), CPT Assistant March09 Volume 19, Issue 3, The Coding Institute, the AAP (limited access), and the AAFP (limited access).
I think the next step is to query the AMA on it but thought I'd check with my fellow Coders at the AAPC first.