Medical Coding

Category - Evaluation and Management

An 18 month old is rushed to critical care after being critically injured during a motor vehicle accident. What is the correct evaluation and management code for initial inpatient pediatric critical care evaluation?
  1. 99468
  2. 99469
  3. 99471
  4. 99472
Explanation
Answer: C - 99471 is the correct code for initial inpatient pediatric critical care of a critically ill infant or young child, 29 days through 24 months of age.

Codes 99468 and 99469 are incorrect because these codes are for infants 28 days or younger. Code 99472 is incorrect because this code is for subsequent inpatient pediatric critical care of a child 29 days through 24 months of age.
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