Coding Corner

Coding Question

Dr. Smith requests that the neonatologist meet with a recently admitted pregnant woman who presented with preterm labor and PROM at 25 completed weeks of gestation. The neonatologist spends 60 minutes on the mother’s floor/unit meeting with the patient, discussing anticipated neonatal care, resuscitation, and documenting in the medical record.  For that day’s services, the neonatologist reports:

A.    99222: Initial Hospital inpatient, straightforward or low MDM, 55 minutes met or exceeded
B.    99233: Subsequent Hospital inpatient, straightforward or low MDM, 50 minutes met or exceeded
C.    99253: Inpatient consultation for a new or established patient, low MDM, 45 minutes met or exceeded
D.    99254: Inpatient consultation for a new or established patient, moderate MDM, 60 minutes met or exceeded

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