CCO Admin asked:
Inpatient Neonatal & pediatric critical care E/M question
in page 45 in the guideline " when critical care services are provided to neonate or pediatric patients less than 6 years of age at two separate institutions by an individual from a different group on the same date of service; the individual from the referring institution should report their critical care service with the time based critical care codes (99291; 99292) and the .........."
my question is; why do we have to use codes from (99291; 99292)? is not these codes are for adult; and the codes (99468-99476) are for ped and neonates?
i am confused
Answer:
## at two separate institutions by an individual from a different group on the same date of service;
## Evaluation and Management Services
## Critical Care Services
### Critical care; evaluation and management of the critically ill or critically injured patient
99291 - Critical care; evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
## Evaluation and Management Services
## Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care Services
### Inpatient Neonatal and Pediatric Critical Care
99468 - Initial inpatient neonatal critical care; per day; for the evaluation and management of a critically ill neonate; 28 days of age or younger
Inpatient Neonatal & pediatric critical care E/M question
in page 45 in the guideline " when critical care services are provided to neonate or pediatric patients less than 6 years of age at two separate institutions by an individual from a different group on the same date of service; the individual from the referring institution should report their critical care service with the time based critical care codes (99291; 99292) and the .........."
my question is; why do we have to use codes from (99291; 99292)? is not these codes are for adult; and the codes (99468-99476) are for ped and neonates?
i am confused
Answer:
## at two separate institutions by an individual from a different group on the same date of service;
## Evaluation and Management Services
## Critical Care Services
### Critical care; evaluation and management of the critically ill or critically injured patient
99291 - Critical care; evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
## Evaluation and Management Services
## Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care Services
### Inpatient Neonatal and Pediatric Critical Care
99468 - Initial inpatient neonatal critical care; per day; for the evaluation and management of a critically ill neonate; 28 days of age or younger
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