Coding Resources
AAP Committee on
Coding & Nomenclature
Coding Webinars
AAP Coding Products
CPT 2013 (AMA)
Policy Statement on
RBRVS
RBRVS Brochure
Coding Calculator
|
AAP Webinar on Pediatric Critical Care Coding & Billing
(sponsored by the Section on Critical Care & Private Payer Advocacy Advisory Committee)
The AAP Section on Critical Care and Privacy Payer Advisory Advocacy Committee teamed up to sponsor a webinar to bring you the latest on pediatric critical care coding and billing. This 90-minute webinar covered the basics, what's new and required in coding and documentation for bundled and unbundled codes, and special procedures in ECMO, transport, ultrasound, CRRT, sedation, consultation, nursing and more. Real world examples were provided along with Q&A at the end. Targeted to intensivists, hospitalists, nurses, and other health care professionals involved in the care of critically ill and injured children. In addition, you can also view the agenda, speaker bios, a list of helpful links and other resources, and two special handouts on drugs requiring close monitoring and an E&M level of care audit form.
CPT Code Updates for NICU & PICU Services
In CPT 2009, all NICU and PICU codes were re-numbered as follows:
| 99468 |
Initial neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger |
| 99469 |
Subsequent neonatal critical care,, per day, for the evaluation and management of a critically ill neonate , 28 days of age or younger |
| 99471 |
Initial pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age |
| 99472 |
Subsequent pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age |
| 99475 |
Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age |
| 99476 |
Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age |
CPT Guideline Changes for 2011 – NICU/PICUServices
Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care Services
- Specific instructions have been provided for reporting services when 2 providers of different groups are caring for a neonate or pediatric patient who requires intensive or critical care and the patient improves and is transferred to a lower level of care.
- When a critically ill neonate or pediatric patient improves and is transferred to a lower level of care, the transferring physician reports subsequent hospital care (99231–99233) or hourly critical care services (99291–99292) as appropriate based on the condition of the neonate or child. The receiving physician reports subsequent intensive care (99478–99480) or subsequent hospital care (99231–99233) services as appropriate.
-
Specific instructions have been provided for reporting services when 2 providers of different groups are caring for a patient who becomes critically ill.
- When a neonate or infant becomes critically ill and is transferred to a different physician, the transferring physician reports critical care services performed using hourly critical care codes (99291–99292) or intensive care services performed, but not both. The receiving physician reports subsequent inpatient neonatal or pediatric critical care (99469, 99472).
- When the critically ill neonate or pediatric patient improves and is transferred to a lower level of care, the transferring physician does not report a per day critical care service. Subsequent hospital care (99231–99233) or critical care services (99291–99292) are reported as appropriate based on the condition of the neonate or child. The receiving physician reports subsequent intensive care (99478–99480) or subsequent hospital care (99231–99233) services as appropriate based on the condition of the neonate or child.
AAP Pediatric Coding Newsletter Article on 2009 Re-Numbering
Appeal Letters for NICU/PICU Services
ATTENTION AAP MEMBERS:
 The archived Webinar, Pediatric Critical Care Coding & Billing 2010
is available for members only.
|
