Wiki Transport codes

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Use these codes only for a physician or NPP's provision of face-to-face critical care services during the transport of a patient who is less than two years old and critically ill or injured. For instance, a child less than two is critically injured and first evaluated at a rural hospital that determines transport to a children's hospital in a nearby city. A physician from the children's hospital travels with a transport team to the rural hospital and provides critical care to the child during transportation.
 
Thank you for responding, we would be the actual provider transporting out the child not the recieving so that rule would still apply right? the provider actually has to go along with the transport team to bill this code. So if that is the case then what code would you use if your provider was transporting out a critical newborn to another hospital would you use a dicharge, an initial day critical code or a what would be the best?
 
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If the physician at your facility provided services that meet the requirements for critical care, then hourly critical care could be reported for the services prior to transport. CPT says, "When critical care services are provided to neonates or pediatric patients less than 6 years of age at two separate institutions by an individual from a different group on the same date of service, the individual from the referring institution should report their critical care services with the time-based critical care codes (99291, 99292) and the receiving institution should report the appropriate initial day of care code 99468, 99471, 99475 for the same date of service." If the child was not critically ill or injured or the care provided did not equate to critical care, then you should consider the appropriate E/M service depending on whether the patient received care in the ED or inpatient setting.
 
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