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CPC · Question #68

A 4-year-old, critically ill child is admitted to the PICU from the ED with respiratory failure due to an exacerbation of asthma not manageable in the ER. The PICU provider takes over the care of…

The correct answer is D. 99471. The code 99471 is used for initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill infant or young child. Given the scenario where a 4-year-old critically ill child is admitted to the PICU and requires intensive care management…

Evaluation & Management (E/M)

Question

A 4-year-old, critically ill child is admitted to the PICU from the ED with respiratory failure due to an exacerbation of asthma not manageable in the ER. The PICU provider takes over the care of the patient and starts continuous bronchodilator therapy and pharmacologic support with cardiovascular monitoring and possible mechanical ventilation support. What is the E/M code for this encounter?

Options

  • A99285
  • B99475
  • C99291
  • D99471

How the community answered

(43 responses)
  • A
    14% (6)
  • B
    7% (3)
  • C
    5% (2)
  • D
    74% (32)

Explanation

The code 99471 is used for initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill infant or young child. Given the scenario where a 4-year-old critically ill child is admitted to the PICU and requires intensive care management, this code is appropriate as it reflects the critical care provided beyond the emergency department services.

Topics

#pediatric critical care#PICU admission#respiratory failure#critical care coding

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