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Resolved CPT 99464 Attendance at delivery

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SusanG_27777

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Looking for any information on the coding and billing of CPT 99464 Attendance at delivery. We are having problems getting these claims paid, what diagnosis codes do you use? :unsure: Thank you!
 
Some information obtained from American Academy of Pediatrics: 99464 cannot be reported with 99465; physical presence of the provider has to be requested by the delivering MD AND have a newborn who may require immediate intervention; medical records must include request for attendance; any medically necessary procedures provided in delivery room may be reported separately; may be reported with 99460, 99221-99223, 99477, 99468, 99291-99292; oxygen and CPAP are included with 99464; CANNOT be used if presence of the provider is a hospital mandate; cannot be billed with 99360.
I hope this helps some with additional information available about the code. I could look further into particular denials if you provide some more information. What codes was it billed with, what state are you in and what insurance carrier(s) is it?
 
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