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99460 with 99238 on same day

  1. #1
    Default 99460 with 99238 on same day
    Medical Coding Books
    If a baby is born on for example 6/1, but the provider did not do the initial newborn care until 6/2 and they also discharged the newborn on 6/2, can both 99460 and 99238 be reported on the same day? 99463 wouldn't be appropriate because the baby was admitted in 6/1 not 6/2. Any suggestions?

  2. #2
    Default
    Quote Originally Posted by chenry4 View Post
    If a baby is born on for example 6/1, but the provider did not do the initial newborn care until 6/2 and they also discharged the newborn on 6/2, can both 99460 and 99238 be reported on the same day? 99463 wouldn't be appropriate because the baby was admitted in 6/1 not 6/2. Any suggestions?
    Actually, 99463 is the most appropriate code in this scenario. Professional charges happen on the date of the provider's face-to-face encounter with the patient. The facility will bill the admit date of 6/1, as that is when they provided the nursing labor, supplies, delivery room, etc. for (excuse the pun) labor and delivery.

    Simce your physician provided both admission and discharge services on the same date, 99463 is the way to go, I would say.

    Best,
    Jetman

  3. #3
    Default 99462 and 99238
    The same physician can not bill this to codes together on the same day, correct? It was not an admit and discharge on the same day so it wouldn't no be the 99463. Also I am thinking that if they billed both codes, there was significant time spent so they could possibly bill the 99239 instead? Thanks

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