You can use the 99477 only once per day. Period. The examples you give sound like instances where this might be the appropriate code to use .. the key is the need for intensive observation and frequent intervention.
You mention "transient" .. if you mean that the baby is in this unit while awaiting transport to another facility, then No, you wouldn't use 99477. You'd code 99291-99292 as appropriate depending on documented time spent in providing critical care.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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