Question

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Explanation:

Analyze the clinical scenario and services performed

The pediatrician is present in the delivery room to monitor a newborn in cardiac distress and performs cardiopulmonary resuscitation (CPR) to stabilize the baby.

Evaluate CPT code definitions for newborn services

• CPT 99464: Attendance at delivery (when requested by the delivering physician) and initial stabilization of newborn.
• CPT 99465: Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output.

Determine the correct coding combination

According to CPT guidelines, delivery room attendance (99464) and delivery room resuscitation (99465) are clinically distinct. However, when resuscitation (99465) is performed, it includes the stabilization services. Furthermore, CPT guidelines state that 99464 and 99465 should not be reported together for the same encounter by the same provider. Since resuscitation was performed, only 99465 is reported.

Answer:

• 99464
• 99464, 99465
• 99460
• 99465 (Correct answer)