Medical Coding

Category - Evaluation and Management

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A home birth newborn is seen for the first time in her pediatrician’s office on the same day as her delivery at home. What is the correct CPT code for this initial encounter of the newborn?

99460
99461
99462
99463

Explanation

Answer: B- 99461 is the correct code for initial care of the evaluation and management of normal newborn infants seen in other than hospital or birthing center.
Code 99460 is incorrect because this code is for the infant initially seen at the hospital or birthing center. Code 99462 is incorrect because this code is for subsequent days and 99463 is incorrect because this code is for infants admitted and discharged on the same day.

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