AAPC - Back to school
Results 1 to 2 of 2

Thread: critical care on newborn

  1. #1

    Default critical care on newborn

    AAPC: Back to School
    Could someone please help me with a cpt code for critical care on a newborn. Baby was delivered premature and total critical care time documented was 1 hr in our CAH, then was transferred to a specialist in larger hospital. Questioning if should use 99291, 99466 or 99468. Any help would be appreciated. Thanks

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Would need the notes to be sure

    I would need to see the notes to be sure.

    Read the guidelines in CPT, which specifically state: If inpatient critical care services are reported in the referring facility prior to transfer to the receiving hospital, use the critical care codes (99291, 99292). (2011 CPT Professional edition, pg 38 under guidelines for Pediatric Critical Care Patient Transport.

    You can code 99466 ONLY if he physician went along on the ambulance ride with the critically ill neonate when transfering the baby to the receiving hospital. If your physician turned the baby over to the transport team and didn't go along in the ambulance with the baby, you cannot code 99466.

    You would NOT use 99468. Only one physician can report this code per day. The neonatologist at the receiving specialty hospital will use that code.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Newborn Critical Care transport
    By volleyball246@hotmail.com in forum Pediatrics
    Replies: 3
    Last Post: 01-16-2015, 12:54 PM
  2. Replies: 4
    Last Post: 10-19-2010, 09:37 AM
  3. Normal newborn care and ill care on the same date
    By dpeterson39 in forum Pediatrics
    Replies: 2
    Last Post: 05-18-2009, 09:27 AM
  4. Newborn Care and Neonate/Pediatric Critical Care
    By bobbro in forum Pediatrics
    Replies: 1
    Last Post: 03-03-2009, 03:35 PM
  5. Critical Newborn, Transfer of Care
    By thefosterfarm in forum Pediatrics
    Replies: 2
    Last Post: 09-02-2008, 08:02 PM

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.