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CPT 99479: Direction of Care for Recovering Low Birth Weight Infant
CPT code 99479 denotes physician or qualified provider direction of care for a recovering low birth weight infant weighing between 1500 and 2500 grams. This narrowly defined neonatal care code captures clinical oversight activities for infants in the postnatal recovery phase and is relevant to providers and payers managing specialized neonatal services. Nationally, codes like 99479 matter because they standardize billing for targeted neonatal care and influence coverage, resource allocation, and care coordination in perinatal services.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the code’s clinical scope and typical service setting, plus an outline of what benchmarking and policy-related information would be relevant for payers and providers. Where available, the publication presents reimbursement benchmarks, prior authorization and coverage considerations, and clinical documentation elements tied to neonatal recovery care. If specific payer policies or performance measures are absent, the report notes that data is not available in the input.
This summary is intended for a national audience of clinicians, billing professionals, and payer policy staff seeking a clear, practical reference on the clinical purpose and billing context of CPT code 99479.
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Billing Code Overview
CPT code 99479 describes the provider-directed care of a recovering low birth weight infant whose current weight is between 1500 and 2500 grams. This code reflects clinical oversight focused on a neonate in the postnatal recovery period.
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Service type: Neonatal care coordination and clinical direction for a low birth weight infant
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Typical site of service: Neonatal unit or other facility-based inpatient/postnatal care setting
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