tci E/M Coding Alert - 2015 Issue 1

Reader Question: Rely On 99462 for Subsequent Care of Newborn

Question: One of our pediatric physicians saw a newborn at the hospital with no medical conditions or need for special care. The history and examination were normal. She did perform a circumcision at the hospital that was determined at the visit. What would I code with what diagnosis code? Ohio Subscriber Answer: You will report a normal newborn’s history and examination with 99462 (Subsequent hospital care, per day, for evaluation and management of normal newborn) with modifier 57 (Decision for surgery) attached. This code includes a monitoring nourishment of the newborn, reviewing records of vital signs, and evaluating...

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