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Sydra

Federal IDR by specialty

Neonatology: out-of-network denials and recovery

NICU and newborn critical-care services billed by neonatologists who are frequently out of network at an in-network hospital — protected No Surprises Act claims that are routinely paid short.

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3 disputed neonatology codes

Initial neonatal critical care, 28 days or younger

CPT 99468 · neonatal

Subsequent neonatal critical care, 28 days or younger

CPT 99469 · neonatal

Initial hospital care, neonate requiring intensive observation

CPT 99477 · neonatal

Neonatology denials by state

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
JA

Medically & clinically reviewed by Dr. John M. Abrahams, MD

Board-certified neurosurgeon and founder of Sydra · Last reviewed September 2026 · About the author

Sources

Figures reflect the published federal record across all disputes, not a prediction about any individual claim. This is general information, not legal or financial advice.