I'm assuming your doctor wants to bill the 99477 to 99480 codes for the "not critically ill" neonate who continues to require intensive care services.
CPT 2009 professional edition, page 35 is pretty clear in the guidelines as to the requirements for using these codes. I quote (in part): ... These services are for infants and neonates who are not critcally ill but continue to require intensive cardiac and respistory monitoring, continuous and/or frequent vital sign monitoring, heat maintenance, enteral and/or parenteral nutritional adjustment, laboratory and oxygen monitoring, and constant observation by the health care team under direct physician supervision. . These codes are used ONCE PER DAY to reflect the physician's supervision of a round-the-clock team of healthcare professionals monitoring such an infant.
You state that per nursing notes the baby was in the well nursery the entire stay and was no no monitors at all. From that description, it does not sound as if the baby's care met the guidelines for 99477 to 99480 codes.
Hope that helps.
F Tessa Bartels, CMC, CEMC
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join