2023 | CPT 99468 – 99476 (Inpatient Neonatal & Paediatric Critical Care)
The descriptions of the CPT codes for inpatient neonatal and pediatric critical care services can be found below.
CPT Code 99468
CPT 99468 Description: CPT 99468 can be reported when the provider manages and evaluates the initial care of an infant newborn younger than 28 days in a neonatal critical care setting.
CPT Code 99469
CPT 99469 Description: CPT 99469 can be reported when the provider manages and evaluates the initial care of an infant newborn younger than 28 days in a neonatal critical care setting after the first day.
CPT Code 99471
CPT 99471 Description: CPT 99471 can be reported for caring for a 29- 24 months infant/child.
The provider performs initial management and evaluation of the critically ill child/infant in an inpatient setting.
CPT Code 99472
CPT 99472 Description: CPT 99471 can be reported for caring for a 29- 24 months infant/child.
The provider performs follow-up care of the critically ill child/infant in an inpatient setting.
CPT Code 99473
CPT 99473 Description: CPT 99473 can be reported for calibrating and training the patient using a blood pressure monitoring device.
The device needs to be validated for clinical accuracy.
CPT Code 99474
CPT 99474 Description: CPT 99474 can be used when the provider averages the systolic and diastolic blood pressures, collects data, discusses a treatment plan with the patient, and prepares a report.
CPT code 99474 can be used when the patient measures blood pressure (using a validated blood pressure device). Over 30 days, twice a day, two readings need to be taken (one minute apart). A minimum of 12 readings must be taken and reported to the provider.
CPT Code 99475
CPT 99475 Description: CPT 99475 can be reported for a critically ill child (between 2 and 5 years old) when the provider performs initial evaluation and management in an inpatient setting.
CPT Code 99476
CPT 99476 Description: CPT 99476 can be reported as the follow-up care of a critically ill child (between 2 and 5 years old) performed by the provider in an inpatient setting.