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Aubry Corbin W6 Discussion COLLAPSE The CPT Assistant from AHIMA’s 3M application provides detailed information about newborn coding. The CPT Assistant outlines the use of codes from the CPT, ICD-10-CM, and HCPCS Level II code sets to accurately document and report newborn care services. It also provides coding advice on services provided to newborns in the office setting, labor and delivery setting, and in the neonatal intensive care setting. The CPT Assistant explains the coding guidelines for newborn services for care provided in the office setting, including the evaluation and management (E/M) services for newborns up to 28 days old, newborn risk assessment codes, and newborn delivery codes. It also explains the codes for laboratory tests, radiologic procedures, and other services provided to newborns in the office setting. In the labor and delivery setting, the CPT Assistant outlines the codes for antepartum care, labor and delivery services, postpartum care, and newborn care. It also provides guidance on coding for care provided in the neonatal intensive care setting, such as the use of ICD-10-CM codes for identifying the severity of the newborn’s condition, and other codes related to newborn care. Scenario: A 28-day-old baby is seen in an office setting for an initial visit. The provider performs a comprehensive history and physical exam and orders laboratory tests, radiologic procedures, and other services. The appropriate CPT codes for this scenario would include an evaluation and management (99201-99215) code depending on the level of history and physical exam performed, newborn risk assessment (99461-99463) code, and codes for the laboratory tests, radiologic procedures, and other services provided (e.g. 80048-80053, 71020-71045). The appropriate ICD-10-CM code for this scenario would be Z38.0, which is the code for a live-born infant at the initial visit. Respond to rational
SCIENCE
HEALTH SCIENCE
NURSING

 
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