One of our ortho surgeons was asked to consult on a new born with a fractured humeral shaft. This is related to/result of an urgent c-section (we saw the patient the day following birth)
I am wondering what E/M service code I should look to. This particular insurance does not allow for consultation codes to be billed. I initially looked to the admission code 99221 or 99232 (since not much of a history since less tha n24 hours old and completely healthy) - but then it was suggested to use 99460 (Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant) - but after reading the lay description, I'm not convinced that is the best code.
Any thoughts on this? Has anyone encountered this before?
It is a very first for us.
I am wondering what E/M service code I should look to. This particular insurance does not allow for consultation codes to be billed. I initially looked to the admission code 99221 or 99232 (since not much of a history since less tha n24 hours old and completely healthy) - but then it was suggested to use 99460 (Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant) - but after reading the lay description, I'm not convinced that is the best code.
Any thoughts on this? Has anyone encountered this before?
It is a very first for us.