The newborn care (99431–99433), neonatal critical care (99295–99296), pediatric critical care (99293–99294), and continuing intensive care (99298–99300) codes are all designated as global codes. These codes encompass all episodes of care provided during a calendar day, regardless of the number of encounters or time spent on the unit or floor. Unlike the normal newborn care codes, however, the majority of the procedures performed in conjunction with the neonatal/pediatric critical/intensive care codes are not separately reported. Rather, the values of the procedures performed on the typical critical/intensive neonate/infant are included in the relative value units (RVUs) (and, hence, the payment) for the codes.

The American Medical Association/Specialty Society Relative Value Scale Update Committee makes valuation recommendations based on surveys in which physicians who perform the services are presented with a vignette describing the typical patient. The neonatal/pediatric critical/intensive care codes’ vignettes describe “care...

You do not currently have access to this content.