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Thread: Code 99477

  1. #1

    Default Code 99477

    AAPC: Back to School
    Does anyone have experience with 99477?

    Would phototherapy be justified? They need to be watched closer than normal, ie, getting extra glucoses, watching their temp. etc.

    I want to be sure because the reimbursement is way higher. The reimbursement is $313 vs $30 for sub care!!

  2. #2

    Default 99477

    According to the "Coding for Pediatrics", if the child is in NICU, and is having phototherepy and thermal support, this justifies using this code.

  3. #3
    Join Date
    Apr 2007
    Greeley, Colorado


    I agree with pennys73 - we have used this code in this kind of situation and been paid.
    Lisa Bledsoe, CPC, CPMA

  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default Only INITIAL care

    The description of the code states "Initial hospital care, per day ..." so I believe this can only be billed for the admit day. The "per day" qualifier also means that it is intended to cover all cares for a 24-hour period.

    After that initial care, if the neonate is neither cricially ill, nor low-birth weight and requiring intensive monitoring, you would report subsequent hospital visits 99231-33.

    F Tessa Bartels, CPC, CPC-E/M

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