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Pediatric Coding Alert

Bust 4 Myths That Could SinkYour Critical Care Services Payments

Published on Sun Jun 28, 2009

Surprise: Codes 99291, +99292 apply to infants, young pediatric patients in these situations. Youve got to expand your 99291 and +99292 use, or youll join other practices wasting money appealing legit per diem critical care denials. Currently, we are being denied [on claims for 99468, Initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or less] and having to send records and request a review & which is very time-consuming and costly, reports Tommie Angel, practice manager at Sanford Pediatrics PA in North Carolina. Strategy: Consider additional factors such as setting and time, before choosing 99291, +99292 (Critical Care Services: Adult [Over 24 Months of Age]) or 99466-99476 (Neonatal and Pediatric Critical Care Services).Check out these instances when 99291, +99292 are the right choice for infants and young pediatric patients. Myth 1: 99291, 99292+ Are for 25 Months [...]
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