AAPC - Back to school
Results 1 to 4 of 4

Thread: Inpatient Coding-Newborn Resuscitation

  1. #1

    Default Inpatient Coding-Newborn Resuscitation

    AAPC: Back to School
    In patient Coding (New born resuscitation)
    So lets say a peds doctor admits a patient into the hospital ,they do newborn rescucitation and spend hours with the patient. Then a neonate Md takes over the care of the patient and also bills the resuscitation and the global critical care. What is the Pediatric doctor supposed to bill? Any thoughts/info would be much appreciated...thanks!

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default 99291-92

    Per CPT 2009 Professional Edition, page 35, Left column ... Critical care services provided by a second physician of a different specialty not reporting a 24-hour global code can be reported with the critical care codes 99291-99292.
    So your peds doctor should be using the 99291-99292 code for critical care services.

    But I am a little confused about the scenario ...
    You say your peds doctor "admits a patient to the hospital" ... So was this the neonate's date of birth? -OR- Was this an infant who was already at home and then brought to the hospital?

    99465 Is specifically for Delivery/birthing room resuscitation. If this was NOT the baby's date of birth, then you can use the usual CPR code 92950.

    If YOUR physician was in the birthing/delivery room and performed 99465, then the neonatologist who took over later, and may have had to perform CPR again should be using 92950 for that subsequent resuscitation.

    It does NOT seem that the neonatologist should be using 99465 in any case.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3

    Default In patient

    Well thats just it, the second physician IS the one reporting global critical care codes.(The neonate MD) The first physician is the pediatrician who may be performing resucitation, etc.

  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default Second physician

    The term "second physician" does not refer to the order in which the services were provided, but to the fact that more than one physician provided critical care services on the same date of service.

    The pediatrician would use the critical care codes 99291-99292 as appropriate based on time spent. You'll probably need a -25 modifier as well (since the neonatologist will be using the global NICU code).

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Inpatient newborn care
    By hthompson in forum Pediatrics
    Replies: 4
    Last Post: 11-10-2012, 10:02 AM
  2. newborn resuscitation
    By sknowlden in forum Pediatrics
    Replies: 0
    Last Post: 06-01-2009, 08:10 AM
  3. Attendance @ delivery/Newborn Resuscitation
    By ktb_thomas in forum Pediatrics
    Replies: 3
    Last Post: 03-20-2008, 02:05 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.