Care on the date of discharge may be reported with hospital discharge day management code 99238 or 99239 except when discharge takes place on the same date as initial newborn care (99463). Secondly, what is the ICD 10 code for newborn baby? Z38.2
In regards to the subsequent visit and discharge for newborns coding the Z38.00 or Z38.01 is correct for the birth, but the Z00 would be used for the subsequent and discharge. I have the pediatric study guide for the test and an example of this is in it.
Code 99460 normal newborn service, ICD V30.00 and 99477 with modifier 25, ICD 780.65 12 Initial Neonate Intensive Care 99477 Initial hospital care, per day, for the evaluation and management of the neonate, 28 days of age or less, who requires observation, frequent interventions and other intensive care services
CPT 99477 For the initiation of inpatient care of the normal newborn report 99460 For initiation of the care of the critically ill neonate use 99468 For initiation of inpatient hospital care for the neonate not requiring intensive observation, frequent interventions or other intensive care services use 99221-99223
2018/2019 ICD-10-CM Diagnosis Code P00.89. Newborn affected by other maternal conditions. P00.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
99463 CPT Code Description: CPT code 99463 can be reported when the care of a normal newborn infant is evaluated and managed by the provider, in a birthing center or hospital (usually immediately after birth) through the time of release or discharge from the facility the same day.
Single liveborn infant, unspecified as to place of birth Z38. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z38. 2 became effective on October 1, 2021.
A code from category Z38 is assigned to report the birth episode care for a newborn, according to the place and type of delivery, is the first listed code and assigned only once to a newborn at the time of birth. Category Z38 is only used on the newborn chart, never the mother's record.
Health examination for newborn under 8 days old110 for Health examination for newborn under 8 days old is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
When coding the birth episode in a newborn record, assign a code from category Z38, Liveborn infants according to place of birth and type of delivery, as the principal diagnosis. A code from category Z38 is assigned only once to a newborn at the time of birth.
According to a resource one of my Doctors found it states "that if the baby acquired the condition during the first 28 days of life they should be able to use the newborn dx code after 28 days of life".
If a newborn has a condition that may be either due to the birth process or community acquired and the documentation does not indicate which it is, the default is due to the birth process and the code from Chapter 16 should be used.
Codes from Chapter 15 should only be used on the maternal record, never on the newborn record.
Codes from chapter 15, Pregnancy, Childbirth and the Puerperium, should never be reported on the newborn record.
0 - 17 years inclusiveZ00. 129 is applicable to pediatric patients aged 0 - 17 years inclusive.
99381 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 ...
Z00.129Well-child examinations 111 for a newborn 8 to 28 days old. For children 29 days old and older, use one of two codes: Z00. 121, Encounter for routine child health examination with abnormal findings, or Z00. 129, Encounter for routine child health examination without abnormal findings.
Evaluation and management (E/M) services provided to normal newborns in the first days of life prior to hospital discharge are reported with Newborn Care Services codes. Codes for initial care of the normal newborn include:
After the newborn has been discharged to home, it is common practice to see the infant to assess for jaundice or any feeding problems. Coding for this service depends on the provider of the service and whether the visit is in follow-up to an already identified problem or screening for problems.
Family physicians who perform newborn circumcision should separately report this service. Codes for circumcision procedures include:
When providing E/M services to other than normal newborns, choose the level of care based on the intensity of the service and status of the newborn. Care of newborns who are not normal but do not require intensive services may be reported with codes for initial hospital care (99221-99223).
When the newborn is critically ill or injured, codes exist for reporting of services provided during interfacility transport, initial critical care, and subsequent critical services.
Critical care services delivered by a physician, face-to-face, during an interfacility transport of critically ill or critically injured pediatric patient, 24-months of age or less, are reported based on the time of face-to-face care beginning when the physician assumes primary responsibility at the referring hospital/facility and ending when the receiving hospital/facility accepts responsibility for the patient's care.
The initial day of critical care for the evaluation and management of a critically ill neonate, 28-days of age or less, is reported with code 99468. Only one physician may report this code.