AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 2; Ask the Editor
Newborn Transferred from Hospital A to Hospital B
A 34-week premature infant, who was delivered via cesarean section at Hospital A, was transferred to Hospital B for continued treatment. What code would the receiving facility (Hospital B) report? How would the attending physician at Hospital B report his services; code Z38.01, Single liveborn infant, delivered by cesarean, or code P07.37, Preterm newborn, gestational age 34 completed weeks? ...
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Article Overview
This article explains newborn diagnosis coding considerations when a premature infant is transferred from one hospital to another for continued treatment. It is aimed at hospital coders, physician coders, and revenue cycle staff working with neonatal inpatient records. The discussion focuses on the applicable ICD-10-CM diagnosis category, the difference between birth-status coding and condition coding, and how the transfer context affects reporting for the receiving facility and attending physician.
Why This Topic Matters
Transfers of newborns can create confusion about which diagnosis reflects the encounter at the receiving hospital. Correctly identifying the appropriate ICD-10-CM category supports accurate newborn record abstraction and consistent reporting by both facility and physician staff.
What You Will Learn
- How newborn transfer scenarios affect diagnosis coding at the receiving hospital
- How to distinguish birth-status coding from condition-based coding in a transferred newborn record
- What general coding considerations apply to the attending physician and receiving facility in a neonatal transfer case
- How premature newborn records are approached in ICD-10-CM when treatment continues at another facility
Who Should Read This
- Hospital coders
- Physician coders
- Inpatient coding staff
- Revenue cycle professionals
- Neonatal billing staff
Codes Discussed
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