Inpatient Neonatal and Pediatric Critical Care

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Inpatient Neonatal and Pediatric Critical Care

Postby kellyr » Fri Jul 27, 2018 10:48 am

Can someone help resolve this dilemma? Can the inpatient neonatal and pediatric critical care codes, CPT 99468-99476 be billed as split/shared visits? CMS states that critical care (99291 and 99292) cannot be split/shared, so doesn't it make sense that the same would apply for the neonatal and pediatric codes? I cannot find guidance anywhere on this issue and need to resolve this. Any info will be appreciated!
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Re: Inpatient Neonatal and Pediatric Critical Care

Postby admin » Wed Aug 01, 2018 12:14 pm

Hello,

This is an older publication on critical care by MedLearn Matters prior to the change in neo/ped critical care coding, but if you notice the split shared advisement was here. I believe that provides us with guidance that this rule would apply to any critical care services.

https://www.cms.gov/Outreach-and-Educat ... mm5993.pdf

Your question has been answered by Shannon O. DeConda, CPC, CEMC, CEMA, CPMA, CRTT
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Re: Inpatient Neonatal and Pediatric Critical Care

Postby kellyr » Fri Aug 03, 2018 10:59 am

Thank you so much! This is much needed advise!
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