Sbsq nb em per day hosp

What is CPT Code 99462?

Subsequent newborn care — physician evaluation and management of a normal newborn after the initial admission, per day. Billed for each subsequent day of hospital care for a newborn.

The Medicare reimbursement rate shown above is the amount the federal government has determined is a reasonable payment for this service. Hospitals and providers that participate in Medicare have agreed to accept these rates from Medicare patients.

Who typically bills this:Pediatrician (daily rounds on newborn)

Common Billing Errors for CPT 99462

• !Billed on days the pediatrician did not actually see or examine the newborn
• !Higher-complexity newborn codes used for uncomplicated daily assessments
• !Billed after the newborn has been discharged

Red Flags on Your Bill

Negotiation Tips for CPT 99462

1. 199462 should appear once per day, not multiple times, and only on days of actual care
2. 2Routine newborn daily care visits are low-complexity — if a higher code is used, request documentation
3. 3Confirm the number of hospital days matches your memory of the stay

Codes That Often Appear With This One

These CPT codes commonly appear on the same bill. Review each one to spot potential bundling errors or duplicate charges.

Found CPT 99462 on Your Bill?

If you see CPT code 99462 on a hospital or medical bill, compare the charged amount to the Medicare rate above. If your bill shows a significantly higher charge, you may have grounds to negotiate.

1. Note the amount charged for CPT 99462 on your itemized bill
2. Compare it to the Medicare rate above — calculate the markup
3. Call the billing department and use the Medicare rate as your anchor:“I see CPT code 99462 billed at [amount]. The Medicare rate for this procedure is $40.12. I'd like to discuss a fair adjustment.”