Wiki Neonate Transport Billing

[suee50]

We have a situation where the physicians are employed by the hospital. They can work out of several different hospitals but they are our docs. If a baby is born for example at Good Sam and our doctor takes care of this baby there at Good Sam and then decides the baby needs to transfer to Childrens Hospital and then he is transported to Childrens and then admitted to Childrens hospital. How would you code (or bill) this? Right now we are only billing with a 99238 - discharge from Good Sam and then a 99477 admit to Childrens. Can we also charge the 99466 or 99467 for transport. Childrens transport team is transporting. How would you all code this scenario? (from the discharge to the admit please....Thanks very much for your help with this.

 

[mamabear84]

Actually,

If the SAME group is seeing the newborn at BOTH hospitals, the only charge you could bill for the initial day is 99477 since you can only bill one E/M per GROUP per day.

If your MD is physically in the transport with the baby and the baby is critical then you may also bill the transport codes of 99466 and 99477 (however, if you are billing a 99477 then the baby would not be critical so those codes would not be correct and therefore could not be billed).

So from the example above, you could only bill the 99477.

I hope this helps, Michelle

 

[suee50]

Thanks Michelle