Healthy Newborn vs Non-routine Newborn visits
Hi,
Per the 2013 E&M services for age 28 days or less,
99460 Includes Family consultation, Healthy Newborn H&P, Medical record documentation, Ordering of diagnostic tests and treatments & services provided to Healthy newborns <28 days.
But DOES NOT include:
Neonatal intensive and cirtical care, Hospital discharge or Non-routine neonatal impatient E&M services (99221-99233)
Codes 99224-99226 are for 'Subsequent Observation' which includes changes in patient's status, medical record review and review of diagnostic test results.
So, I would say that if the newborn care warrented additional services because of the additional 'non-routine' diagnostic findings, you could bill for one of the 'subsequent' visit codes (99224-99226), however, if the physician did not see the patient any time other than the initial newborn visit, you could not bill additional charges, but COULD add additional diagnosis' to 99460.