Author Topic: Charges and codes  (Read 2024 times)

Ashpr

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Charges and codes
« on: June 11, 2014, 02:11:42 AM »
I have this other question for an auditing training.

a newborn male with the following ICD-9 diagnosis codes present 765.0 (extreme prematurity), 770.89 (respiratory distress) and 774.6 (jaundice).  Given the ICD-9 codes and additional information that can be gathered from this limited information, what charges/procedures might you generally expect to see on such a claim?

Sriram_Sub

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Re: Charges and codes
« Reply #1 on: June 11, 2014, 03:40:25 AM »
I would expect to see some critical care codes like 99291 & 99292 as well as additional procedures listed in the Inpatient Neonatal and Pediatric Critical Care such as 99466, 99467, 99468 - 99476. I think this takes care of the treatment provided in connection with the respiratory problems. Also, depending on the weight of the infant, we may see codes like 99478-99480 that takes care of the prematurity, along with some injection & administration codes for the Jaundice. I would love to see comments from the experts too.
Sriram

Medical Billing Forum

Re: Charges and codes
« Reply #1 on: June 11, 2014, 03:40:25 AM »