Update to article coming in January 2014
Confusion continues over which evaluation and management (E/M) codes should be reported when a newborn is normal on initial evaluation but later in the same calendar date requires an increased level of service (eg, care for a sick neonate, intensive or critical care services), or when an infant's illness or condition progresses during the hospital stay and requires a higher intensity of service. Similarly, questions arise about how each physician should report his or her service when a transfer of care of a sick neonate is required.
The Table below provides clarification and guidance when physicians are faced with the perplexing issue of what codes to report for hospital care of the sick newborn.
The neonate is examined shortly after birth and found to be normal but later that same day becomes tachypneic, requiring another evaluation by a physician. The physician obtains additional...