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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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Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This article explains a hospital discharge services question in the context of CPT evaluation and management coding. It is aimed at coders, physicians, and billing staff who need to understand how the article frames discharge reporting, concurrent care, and same-day additional services in a neonatal setting. The discussion is centered on CPT hospital discharge services and related E/M coding topics presented as a brief Q&A.
Why This Topic Matters
Hospital discharge and same-day E/M reporting can affect correct claim submission and documentation review, especially when newborn or inpatient scenarios are involved. This piece helps readers understand the scope of the guidance and the code families discussed before consulting the full premium content.
Article Sections
December 2018 page 8
Publication/date reference for the Q&A content. It provides context for the article’s timing and placement within the source material.
Evaluation and Management: Hospital Discharge Services
A brief question-and-answer discussion focused on hospital discharge services and related inpatient E/M concepts. The section frames the scenario addressed and the surrounding guidance area.
What You Will Learn
What topic area the article addresses within CPT evaluation and management services.
Which general inpatient and discharge reporting scenarios are discussed.
How the article frames related same-day E/M and concurrent care considerations.
What type of documentation context is associated with the neonatal example.
Who Should Read This
Medical coders
Billing staff
Physicians
Hospital revenue cycle professionals
Compliance staff
Codes Discussed
CPT: 99238
CPT: 99239
CPT: 99231
CPT: 99232
CPT: 99233
Code Ranges Discussed
CPT: 99231-99233
Modifiers Discussed
CPT: 25
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Welcome to the ultimate resource for mastering CPT coding – the CPT® Assistant. This indispensable tool, brought to you by the American Medical Association (AMA), is designed specifically for medical coders, auditors, and billers who strive for accuracy and efficiency in their daily work with patient charts. Whether you are validating codes, training staff, or appealing insurance denials, CPT Assistant provides the authoritative guidance you need to excel.
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