AAPC - Back to school
Results 1 to 2 of 2

Thread: Pediatric initial hospital care

  1. #1

    Question Pediatric initial hospital care

    AAPC: Back to School
    Hope you can help clarify: If a physician sees a newborn for a "normal initial visit", 99460, on day one. Can the physician (same one) also bill the subsequent visit, sick newborn, as an initial inpatient hospital care visit for day 2, 99222? Normally, I would bill this as a subsequent visit, 99232. Need clarification!!!

    If there were two seperate physician's seeing the same newborn. Physician 1 sees the patient as sick with frequent monitoring,99477. The next day physician 2 sees the patient as a "normal" newborn and bills 99460. Can they bill for two initials since they are seperate physicians?



  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Only ONE initial visit

    There can be only ONE initial hospital visit per stay. Whether it's the same physician or a different physician any visits other than the initial one are subsequent visits. (And if the child is critically ill the code is a "global" 24-hour code and only one physician per day will be able to code it.)

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Replies: 3
    Last Post: 07-09-2015, 06:40 AM
  2. Replies: 3
    Last Post: 09-26-2012, 08:21 AM
  3. Replies: 2
    Last Post: 01-21-2009, 06:39 PM
  4. Initial Hospital Care
    By j.berkshire in forum E/M
    Replies: 5
    Last Post: 07-18-2008, 09:30 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.