Which Current Procedural Terminology (CPT ®) codes should be reported when providing palliative care in the neonatal intensive care unit (NICU) or when asked to consult on a child with complex medical conditions that require end-of-life planning and coordination of care in the home after discharge from the hospital?

These services should be reported using the appropriate evaluation and management (E/M) codes based on the place (eg, nursing facility, hospital, home) and type (eg, visit, consultation) of service. The level of E/M service reported will depend on the performance and documentation of the re-quired key components (history, physical examination, medical decision-making) for the particular service. Time can be used as the controlling or key factor in the determination of the level of service if more than 50% of the total face-to-face encounter (floor time in the hospital setting) is spent and documented as counseling or coordination of care. The...

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