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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