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E/M Quick Reference Helpful or Confusing?

  1. Default
    Medical Coding Books
    Quote Originally Posted by btadlock1 View Post
    I had these practice questions in mind when I made this - it seems more practical when you're able to use it...

    20-day-old infant was seen in the ER by the neonatologist admitting the baby to NICU for cyanosis and rapid breathing. The neonatologist performed intubation, ventilation management and a complete echocardiogram in the NICU and provided a report for the echocardiography which did indicate congenital heart disease. Select the correct code(s) for the physician service.

    A. 99468-25, 93303-26
    B. 99471-25, 31500, 94002, 93303
    C. 99460-25, 31500, 94002, 93303
    D. 99291-25, 93303

    Just as an aside note, if a 20-day-old infant is seen in the ER, they would not go into a NICU but in a PICU. NICUs do not usually take in infants that have already been in the "real world" due to the exposure to outside germs could cause major issues in a NICU. This is not to say that a neonatalogist won't consult, but admission to PICU would be the more likely admitting area.

    Kris

  2. #22
    Default
    Quote Originally Posted by kml1764 View Post
    Just as an aside note, if a 20-day-old infant is seen in the ER, they would not go into a NICU but in a PICU. NICUs do not usually take in infants that have already been in the "real world" due to the exposure to outside germs could cause major issues in a NICU. This is not to say that a neonatalogist won't consult, but admission to PICU would be the more likely admitting area.

    Kris
    That may affect the POS code used on your claim form, but not the CPT code selection; CPT codes for neonatal and pediatric critical care are based on the patient's age & their admission status - not as much the physical location where services are being provided (except, of course, in instances where the patient is being transported from one facility to another, while critically ill).

    You would still report 99468 & 99469 for the inpatient critical care of a patient under 28 days old, even if they were admitted to the PICU area vs. the NICU area.

  3. #23
    Location
    Spring Hill
    Posts
    65
    Thumbs up Love it
    Suggestion:
    I agree seperate e/r from observation etc
    maybe turn the page into landscape
    personally use a chart format wih rows and columns lines

    other wise i love it especially with auditing

    i hope i did not offend you with my suggestions

    aimie

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