The “You Code It!” scenario earlier in this newsletter focused on neonatal critical care with insertion of a peripherally inserted central catheter (PICC) in a 7-day-old. The correct codes for this encounter are shown in the Table.

All the conditions that contribute to the need for critical care services and that influence the neonatologist’s medical decision-making should be included on the claim and linked to the code for subsequent daily neonatal critical care. (Note that only the physician directing the daily management of the critically ill or critically injured neonate’s overall care will report daily neonatal critical care. Other physicians who see the patient intermittently to manage one or more conditions should report the appropriate subsequent hospital care or hourly critical care codes, as applicable.)

The appropriate codes for the respiratory distress and feeding issues that support the need for total parenteral nutrition should be linked to the code...

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