AMA CPT® Assistant - 2004 Issue 4 (April)

Evaluation and Management (E/M) Services (April 2004)

April 2004 page 14 Coding Consultation:Questions and Answers Evaluation and Management, (Q&A) Question What E/M code would be used to report a newborn history and physical on a hospitalized infant that is not “normal” yet the presenting problems do not meet the definitions of critically ill or very low birth weight infant? AMA Comment In response to your specific question, if a newborn history and physical is performed in the hospital for an infant that is not “normal” yet does not meet the definition of critically ill or very low birth weight, then the correct code...

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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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