The December 2011 AAP Pediatric Coding Newsletter™ article “The Dilemma: Split/Shared Neonatal and Pediatric Critical Care Services” described neonatal and pediatric critical care codes (99468–99476). It contained information taken directly from the Centers for Medicare & Medicaid Services (CMS) that stated that critical care services are not to be considered split or shared services and that the reporting physician's (or, in some states, nurse practitioner's) documentation “…shall reflect the evaluation, treatment and management of a patient by an individual physician or qualified non-physician practitioner and shall not be representative of a combined service between a physician and a qualified NPP.” This has led to confusion and concern. In response, the American Academy of Pediatrics (AAP) Committee on Coding and Nomenclature and AAP Section on Perinatal Pediatrics Committee on Coding formulated the following guidance for clinicians' documentation of neonatal and pediatric critical care services.

The delivery of neonatal and...

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