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CPT 99468 – 99476 (Inpatient Neonatal & Paediatric Critical Care)

The descriptions of the CPT codes for inpatient neonatal and paediatric critical care services can be found below.

CPT Code 99468

CPT 99468 Description: CPT 99468 can be reported when the provider manages and evaluates, in a neonatal critical care setting, the initial care of an infant newborn who is younger than 28 days.

CPT Code 99469

CPT 99469 Description: CPT 99469 can be reported when the provider manages and evaluates, in a neonatal critical care setting after the first day, the initial care of an infant newborn who is younger than 28 days.

CPT Code 99471

CPT 99471 Description: CPT 99471 can be reported for the care of a 29 days through 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 the care of a 29 days through 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 in the use of 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 a 30 day period, twice a day, two readings need to be taken (one minute apart). A minimum of 12 readings need to 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 initial evaluation and management is performed by the provider in an inpatient setting.

CPT Code 99476

CPT 99476 Description: CPT 99476 can be reported the follow up care of a critically ill child (between 2 and 5 years old) performed by the provider in an inpatient setting.

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