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CPT 99480: Care Direction for Recovering Low Birth Weight Infant
CPT code 99480 designates a provider-directed service for the care of a recovering low birth weight infant weighing between 2,501 and 5,000 grams. This code captures clinical supervision and care coordination activities specifically focused on neonatal recovery management. Nationally, accurate use of this code matters for clinical documentation, continuity of care in neonatal units, and appropriate classification of provider services in newborn care pathways. Key payers commonly relevant to coverage and billing policies include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the code's clinical context and intended use, an overview of common payer coverage considerations, and practical information on related billing elements. The publication summarizes typical sites of service, outlines the clinical scenario that justifies use of the code, and highlights the operational importance of clear documentation when directing care of low birth weight infants. Data not available in the input is noted where applicable. This summary is written for a national audience and aims to inform coding professionals, neonatal clinicians, and revenue cycle teams about the role and implications of CPT code 99480 in neonatal care workflows.
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Billing Code Overview
CPT code 99480 describes when a provider directs the care of a recovering low birth weight infant whose current weight is between 2,501 and 5,000 grams. The service involves clinical oversight and coordination focused on the infant's recovery needs.
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Service type: Neonatal care oversight / care direction for a recovering low birth weight infant
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Typical site of service: Neonatal unit or hospital setting where low birth weight infants receive inpatient care
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