Advanced Search

Pediatric Coding Alert

Reader Question:

Attendance at Delivery

Published on Fri Dec 28, 2012

Question: How should I bill for attending delivery of a baby if the on-call pediatrician was paged in error and the family pediatrician does rounds at the hospital? Our pediatrician attended a delivery for meconium and suctioned the baby, who was hypotonic and poorly perfused. He spent 90 minutes getting the baby fluids. He then spoke to the father, who said the family already has a pediatrician with privileges at the hospital (the nurse made a mistake).

Oregon Subscriber

Answer: Your pediatrician can bill for the work he did. Although the family already has a pediatrician, if that pediatrician did not attend the delivery or admit the baby, then he or she cannot bill. But your pediatrician did, and he may code 99436 (attendance at delivery [when requested by delivering physician] and initial stabilization of newborn) and a hospital admission (99222 or 99223). Do [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Pediatric Coding Alert

View All