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Thread: Newborn coding issue

  1. #1

    Default Newborn coding issue

    AAPC: Back to School
    I tried to post this yesterday but cannot find it. I hope this is not a repeat.

    I have a sick newborn. The first physician submitted 99464 and 99222 for the day of birth. On the same day the second physician submitted 99291 as he cared for the infant as he awaited transport to another hospital. The child was discharged from our facility the next calendar day. Can I submit all these codes? If not what can I submit?

    Thanks, any help is appreciated.

  2. #2


    I don't get any CCI edits when these three codes are entered together so I would bill all three of them.
    Good Luck

  3. #3
    Join Date
    Apr 2007


    I think that the code 99291 is only ok to use for patients ages 25 months and older

  4. #4

    Default Ill newborn 99291

    Thanks, however, guidelines state "Codes 99291 and 99292 are also reported for neonatal and pediatric critical care provided by a physician at one facility who is transferring a patient to another facility".

  5. #5
    Join Date
    Apr 2007
    Greeley, Colorado


    What about 99468 for the admit?
    Lisa Bledsoe, CPC, CPMA

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