AAPC - Back to school
Results 1 to 4 of 4

Thread: 99360 vs 99464

  1. #1

    Default 99360 vs 99464

    AAPC: Back to School
    The obstetrician requested that our anesthesiologist be on standby during delivery of twins because she was concerned that a c-section might be necessary. My first thought was 99360, physician standby. I did not choose 99464, which reads "attendance at delivery...and initial stabilization of newborn" because our anesthesiologist literally just stood there without doing anything else. Is that correct? Thanks - we are fairly new at being involved with Ob anesthesia and any subsequent Ob requests.

    ADDENDUM: We are contracted to provide 24 hour in-house coverage. Does this make us exempt because the CPT Coding Expert states that 99360 "...Excludes On-call services ordered by the hospital"?

    Thanks for any responses.
    Last edited by larkatin; 06-24-2010 at 01:01 PM.

  2. #2
    Join Date
    Apr 2007
    Charleston, WV


    99360 is correct. As long as the doc on standby for this patient only and not providing services to any other patients. Therefore, the doc could not be responsible for another delivery, supervising a CRNA with another patient, or something like that during the standby time. the on-call exclusion just keeps providers for billing for on-call time otherwise reportable under 99206 - 99207.

  3. #3


    Thanks for the confirmation!

  4. #4
    Join Date
    Apr 2007
    lovelannd co


    Does anyone know if you can add this standby time to the anesthesiologist time if the standby results in a C-section? or can you only bill for the C-section time at that point.

Similar Threads

  1. 99464
    By missy874 in forum Pediatrics
    Replies: 4
    Last Post: 02-17-2016, 07:59 AM
  2. Can you bill 99360 with 59514-80
    By abeer in forum OB/GYN
    Replies: 0
    Last Post: 09-11-2015, 05:45 AM
  3. 99464 - medicaid ny
    By banumathy in forum Billing/Reimbursement
    Replies: 0
    Last Post: 08-18-2015, 12:03 AM
  4. Cpt 99464
    By jwhitmorecpc in forum OB/GYN
    Replies: 2
    Last Post: 11-25-2014, 09:36 AM
  5. Standby 99360
    By Partha in forum Billing/Reimbursement
    Replies: 0
    Last Post: 07-13-2010, 11:32 AM

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.