Many practices report that they are being denied payment for endotracheal intubation (31500), catheterization of the umbilical vein (36510), and/or catheterization of the umbilical artery (36660) performed in the delivery room as a necessary part of newborn resuscitation and prior to admission to the neonatal intensive care unit (NICU) (99295). As you are aware, these services are included in the list of bundled procedures with inpatient neonatal and pediatric critical care services (99293–99296). However, Current Procedural Terminology (CPT®) guidelines state that the endotracheal intubation and other procedures performed as a necessary part of resuscitation may be reported separately when all 3 of the following are true:

Insurance payers may deny the service(s) as inherent to the initial neonatal critical care code (99295) and leave it to you to appeal the denial. The first step in reducing the number of appeals is to make certain you are...

You do not currently have access to this content.