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Thread: CPT question 99464

  1. #1
    Join Date
    Apr 2007
    Macon Chapter

    Default CPT question 99464

    AAPC: Back to School
    Can you please give me your opinion where code 99464 is concerned. I read this meaning that you can use it regardless of vaginal delivery or c-section as long as the delivering physician reqested the pediatrician to be at delivery. Is this correct? Other thoughts on this please!

  2. #2


    The diagnosis has to support the consultation request. If the baby is a well-baby delivered vaginally there is no reason for a consultation and therefore the physician cannot bill a 99464 regardless of whether he or she is called for the consultation. On the other hand, if the baby has a dx of TTN or meconium staining, this would be sufficient to warrant a consultation in a vaginal delivery.

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