From Medicare Sept. 08
Here is the word for word definition from the "Coding for Pediatrics 2008" 13the Edition by the American Academy of Pediatrics:
99477 is intended to report the more intensive services that an ill but not critically ill neonate requires on the day of admission (eg., continual monitoring, frequent adjustments of thereapy, constant observation by the health care team under direct physician supervision). These services are typically provided in a neonatal intensive care or special care unit and require a higher intensity and complexity of care than would be reported with code 99223.
Hope this information helps. I would send it back to the provider, with the CPT definition of the 99477 and have "HIM" make the decision on whether or not this patient received the 99477 services.
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