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CPT question 99464

  1. #1
    Default CPT question 99464
    Clearnace Sale
    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. Default
    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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