The office or other outpatient visit with a physician or other qualified health care professional following a healthy neonate’s hospital discharge is typically a baby’s first well-child or preventive medicine service (often occurring at 3 to 5 days of age). Although current preventive service guidelines and coverage requirements under the Patient Protection and Affordable Care Act (PPACA) should have resolved any past payment issues, there may yet be a need to update billing and coding habits and to educate payers whose payment policies conflict with current guidelines for preventive care.

The 3- to 5-day visit is supported by American Academy of Pediatrics (AAP) policy, including “Breastfeeding and the Use of Human Milk” and “Hospital Stay for Healthy Term Newborns.” These policies recommend the following elements of preventive care:

Thus, documentation of the 3- to 5-day visit should include these elements in addition to any concerns addressed at the visit. The...

You do not currently have access to this content.