You are asked to consult on an infant in the newborn nursery who is having respiratory distress. You review the medical record of the infant and mother, perform a comprehensive examination on the baby, and order and review a chest x-ray film, complete blood count, and capillary blood gases. A consultation note is written and you speak with the parents. Later on the same day, the infant deteriorates and is admitted to the neonatal intensive care unit (NICU), placed on a ventilator, and transferred to your service.

Or…

You see an infant in the newborn nursery in the morning, document the maternal and birth history, perform a comprehensive examination, and report code 99431, initial history and physical examination, newborn. Later that day, the baby goes into respiratory failure, is intubated in the nursery, and is transferred to the NICU under your service. The baby is transferred again to a...

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