AMA CPT® Assistant - 2011 Issue 11 (November)

Clarification: Perinatal Period Definition (November 2011)

November 2011 page 5 Clarification: Perinatal Period Definition To align with standard international criteria as established by the World Health Organization (WHO) and adopted by the Official ICD-9-CM Guidelines for Coding and Reporting, we are providing clarification on the appropriate reporting of CPT codes that reference the perinatal period. The Official ICD-9-CM Guidelines for Coding and Reporting state, "For coding and reporting purposes, the perinatal period is defined as before birth through the 28th day following birth." This means that the perinatal period continues through the 28th day of life and ends on the 29th calendar day after...

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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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