One of the significant changes for pediatricians for dates of service on and after October 1, 2016, is revision of codes for newborns (ie, a patient within the first 28 days of life) suspected to be affected by maternal factors and complications of pregnancy, labor, and delivery. Physicians caring for newborns will no longer use codes in categories P00–P04 to report suspected conditions that are ruled out. The instruction for services in the code set implemented on October 1, 2015, has been changed. These codes are no longer used for newborns who are suspected of having an abnormal condition resulting from exposure from the mother or the birth process, but without signs or symptoms, and which, after examination and observation, is found not to exist. These codes may not be used even if treatment is begun for a suspected condition that is ruled out. The revised codes do not include...

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