Q&A

Why This Topic Matters

These situations come up in newborn and prenatal care settings, and practices need to know whether the service is likely to be billable and what code sets are involved. The article helps readers identify the relevant coding concepts without substituting for payer-specific guidance.

Article Sections

1. Despite ICD-9 code, don’t count on pay for ‘get to know you’ visits

   Discusses a prenatal introductory pediatric visit and the broad coding and reimbursement context surrounding it. The section references the emergence of an ICD-9 diagnosis code and the possibility of payer contracting.

2. Don’t bill for two providers attending a delivery

   Addresses billing concerns when multiple clinicians are present for a delivery and the general issue of whether more than one provider may report services. The section also mentions related delivery, newborn, and critical care coding references.