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Possible error in 2009 CPT manual?

  1. Red face Possible error in 2009 CPT manual?
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    Please excuse me if this has been asked and answered previously, but I was unable to find a comment elsewhere....in the comments under CPT code 99465 it states "Do not report 99465 in conjunction with 99460, 99468, 99477." However, in the informational section under "Inpatient Neonatal and pediatric Critical Care" it states in the 3rd paragraph..."The intital day neonatal critical care code (99468) can be used in addition to 99464 or 99465as appropriate, when the physician is present for the delivery (99464) or resuscitation (99465) is required." This two statements seem inconsistent...any comments? I am presenting the new codes to a group of pediatricians and want to assure I am interpreting the new information correctly.

  2. #2
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    Yeah I believe it is a typo. If you look at 99464 it says "99464 may be reported in conjunction with 99460, 99468, 99477." I think 99465 is suppose to say the same thing.
    Herbie W Lorona Jr., CPC, CPC-H
    hlorona@up2parmedicalclinic.com

  3. #3
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    Default I disagree - CPT is correct
    I'm just guessing here, because there are SO many inconsistencies in the new pediatric codes. I really think AMA needed someone who is an English major to clearly write these descriptions and edit for inconsistencies.

    hlorona writes: If you look at 99464 it says "99464 may be reported in conjunction with 99460, 99468, 99477." I think 99465 is suppose to say the same thing.

    I think the only part of the parenthetical remark under 99465 that is incorrect is saying you cannot use it with 99468 or 99477.

    99460 is for initial care of the normal newborn - a normal newborn shouldn't need resusitation.

    Then again, under the Newborn Care Services paragraph (2009 CPT professional edition, pg 32) it states in the 3rd paragraph ... When delivery room attendance services (99464) or delivery room resuscitation services (99465) are required, report these in addition to normal newborn services.


    That's clear as mud!

    There's an audio conference on Wednesday Dec 3 on the new pediatric codes. I plan to ask a LOT of questions!

    F Tessa Bartels, CPC, CPC-E/M

  4. #4
    Default
    Yeah it is a total mess. One thing says it one way then the total opposite in another place. Makes me laugh. Let us know what they say about it in the audio conference. Im curious to know!
    Herbie W Lorona Jr., CPC, CPC-H
    hlorona@up2parmedicalclinic.com

  5. Red face
    Thanks for the input...at least I was not the only one who thought that there were inconsistencies...unfortunately, I cannot participate in an audio conference on the 3rd because I am heading to Plattsburgh to give a conference on the new codes...would be nice to have the audio information first but if you would not mind sending on some tidbits I can always forward to my audience if inconsistent with what I have learned. Thanks again.

  6. #6
    Default
    I am attending a teleconference on the 2009 codes tomorrow through HCPro and the handout I got today has the correction made by CPT. They posted the errata on the AMA website:
    http://www.ama-assn.org/ama1/pub/upl...ons-111308.pdf
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

  7. #7
    Default
    Thanks for the information Pam.
    Herbie W Lorona Jr., CPC, CPC-H
    hlorona@up2parmedicalclinic.com

  8. Default Code 99465 CPT Error
    http://www.ama-assn.org/ama1/pub/upl...orrections.pdf

    If you access the above URL, you will find that the AMA has issued a correction regarding 99465--99460, 99468 and 99477 may be reported in conjunction with 99465.

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