I'm having deja vu or this question was previously asked ...
Anyway. If the child was not critically ill then I'm not sure you can capture anything.
Read the guidelines under "Initial and Continuing Intensive Care Services" (CPT 2009 professional edition, pg 35). They read IN PART: For the subsequent care of the sick neonate less than 28 days of age but more than 5000 grams who does not require intensive or critical care services, use codes 99231-99233.
But I really don't know if you can use the subvisit codes on the same day as you use 99460.
Even if the child was under 5000 grams you still wouldn't want to use the 99477 code because that would be what the neonatologist in the NICU uses. And it can only be used one time.
Let us know how you decide to proceed and the results.
F Tessa Bartels, CPC, CEMC
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