Coding for neonates in the inpatient setting is a complicated undertaking that begins with a maternal/fetal consultation before the baby is even born. Coding is complex on the Current Procedural Terminology (CPT®) and International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) fronts, but knowing how to approach it accurately will help avoid denials and audits.

To help eliminate confusion in this area, the American Academy of Pediatrics (AAP) hosted “Coding for Neonatology,” a webinar presented by Vita Boyar, MD, FAAP. Dr Boyar is a neonatologist and member of the AAP Coding Publications Editorial Advisory Board. This article is based on one of the webinar's key messages.

“The first decision the physician has to make is whether the baby fits under hospital care, intensive care, or critical care codes,” Dr Boyar said.

Dr Boyar then provided guidance on determining whether a patient qualifies for hospital,...

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