The Current Procedural Terminology (CPT®) description of code 99463 is initial hospital or birthing center care, per day, for evaluation and management (E/M) of normal newborn infant admitted and discharged on the same date. In your scenario, the newborn is not admitted and discharged on the same date and the physician provides services on 2 different days. The physician may report initial newborn care (eg, 99460) for the initial encounter (first date of service) and discharge day management (99238–99239) for services on the date of discharge. Unless specified by your contractual obligations with a payer, the services are not required to be separated by 24 hours. When initial newborn care and discharge management are provided on the same date (eg, initial care the morning after birth and discharge later that day), code 99463 is appropriately reported.

Using International Classification of Diseases, Ninth Revision, Clinical...

You do not currently have access to this content.