AMA CPT® Assistant - 2018 Issue 12 (December)

Evaluation and Management: Hospital Discharge Services (Q&A) (December 2018)

December 2018 page 8 Evaluation and Management: Hospital Discharge Services Question: If a newborn expires on the day of birth, is it appropriate to report hospital discharge services code 99238 or 99239? Answer: No, if the newborn expired on the day of birth and was not discharged from the hospital, the Current Procedural Terminology (CPT®) discharge codes would not apply. Instead, the physician should report the hospital service code representing the level of physician work, eg, hospital care, intensive care, or critical care services. Because this was the newborn’s day of birth, the appropriate "initial" day code would...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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