Current Procedural Terminology (CPT®) provides specific codes for normal and intensive or critical care of the newborn. In between these levels of care, physicians may report initial or subsequent hospital care for a newborn who is ill but who does not require intensive or critical care. Selecting the appropriate procedure codes for care of the newborn (who has signs or symptoms that may be benign or an indication of illness or congenital defect) requires a decision between care that was significantly beyond normal newborn care and care that was not.

A review of the codes in question may be helpful. First, for the normal newborn, codes are assigned for initial care based on the site of service.

Subsequent care of the normal newborn provided between the date of initial care and hospital discharge is reported with code 99462. Care on the date of discharge may be...

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