Which codes are reported for neonatal or pediatric critical care services provided at one facility but transferring the patient to another facility?

Study for the AAPC CEMC exam with our comprehensive quiz material, flashcards, and multiple choice questions. Gain insights with detailed explanations and hints to help you prepare effectively for the test.

The correct choice for reporting neonatal or pediatric critical care services provided at one facility before transferring the patient to another facility is to use the codes for critical care, which are specifically designated for situations involving critically ill patients.

The codes 99291 and 99292 are designed for critical care services. Code 99291 is used for the first 30-74 minutes of critical care, and code 99292 is for each additional 30 minutes of critical care services performed. These codes are applicable for situations where critical medical help is required and appropriate documentation supports the necessity of the services rendered.

In this scenario, since the patient is receiving critical care at one facility and is subsequently transferred, the critical nature of the care provided is properly captured by using these codes. This denotes the intensive level of medical services provided, which aligns with the definitions and guidelines for critical care coding.

On the other hand, the other options correspond to different levels of evaluation and management services that are not specifically designed for critical care settings. For example, the codes associated with routine hospital visits or lower-level assessments do not convey the urgency or complexity of critical care, making them inappropriate for this situation. Therefore, using 99291-99292 is the accurate approach to reflect the critical care

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy