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CODING NICU LEVELS OF CARE

Provider Taxonomy Codes
The NICU levels of care are based on the complexity of care that a newborn with specified diagnoses and symptoms requires. All four levels of care are represented by a unique revenue code: Level 1/0171, Level 2/0172, Level 3/0173 and Level 4/0174.
Neonatal Intensive Care Unit (NICU) Level of Care
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NICU Level of Care Criteria
levels of Neonatal Intensive Care Unit (NICU), as well as assistance in determining the appropriate level of care. There are four levels of care – 171, 172, 173, 174.[PDF]
Neonatal Intensive Care Unit (NICU) Level of Care
The NICU levels of care are based on the complexity of care that a newborn with specified diagnoses and symptoms requires. All four levels of care are represented by a unique revenue code: Level 1/0171, Level 2/0172, Level 3/0173 and Level 4/0174.
Levels of Neonatal Care | American Academy of Pediatrics
In 2004, the AAP defined neonatal levels of care, including 3 distinct levels with subdivisions in 2 of the levels. 1 Level I centers provided basic care; level II centers provided specialty care, with further subdivisions of IIA and IIB centers; and level III centers provided subspecialty care for critically ill newborn infants with subdivisions of level IIIA, IIIB, and IIIC facilities. Data published since the 2004 [PDF]
Crosswalk Neonatal Intensive Care Levels of Care
The NICU Facility Levels are only loosely tied to Revenue Codes. For example, any given day of care at a Level IV facility may be appropriate at any Revenue Code in the Neonatal category (Rev Codes 17X). However, Rev Code 174 would rarely, if ever, be appropriate at a Level I facility.
Neonatal Care: Out with the Old, In with the New - AAPC
For example, a 27-day-old baby is admitted to the neonatal intensive care unit (NICU) and remains there through 29 days of age. The correct billing for this would be 99468 for the initial day, 99469 for day two, and 99472 Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age for day three.[PDF]
AAP Guidelines: Levels of Neonatal Care
AAP Guidelines: Levels of Neonatal Care. Brief Housekeeping Notes • Press *6 to mute/ummute your line • To submit questions throughout the call, type your question in the chat box at the lower right-hand side of your screen. 2 . Guidelines on Levels of Neonatal Care[PDF]
Reimbursement Policy Newborn and Neonatal Intensive Care
 Levels of care and the resulting revenue codes can change during the newborn’s inpatient stay.  NICU services are only reimbursed when provided in a Level III maternal/newborn service (as defined by 105 CMR 130).  Hospitals should submit claims using the appropriate revenue codes as described in the table[PDF]
Milliman Guidelines NICU Levels* - Kaiser Permanente
Milliman Guidelines NICU Levels* Neonatal Intensive Care Unit Level IV If the following conditions/procedures exist, in additi on to the fulfillment of Level III Criteria, the approved inpatient days s hould be assigned at Level IV
Neonatal System Development
Oct 25, 2019The purpose of the Neonatal Levels of Care Designation is to comply with House Bill 15, 83rd Legislature, Regular Session, 2013, which added Health and Safety Code, Subchapter H, Hospital Level of Care Designations for Neonatal and Maternal Care, Sections 241 - 241.
Coding for Newborn Care Services (99460, 99461, & 99463
Initial hospital or birthing center care, per day, for E/M of normal newborn infant admitted and discharged on the same date. Subsequent hospital care for the normal newborn is reported once per day with code 99462. Discharge services provided on a date subsequent to admission may be reported with code 99238 or 99239.
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