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Pediatric Coding Alert

You Be the Coder:
Can You Define 'Normal?'

Question: We almost always report normal newborn care codes for the pediatrician’s visits to the hospital to see newborn infants. But there are times when we’ve leaned toward the hospital codes for sick patients instead. What is the threshold between reporting normal newborn codes vs. sick child codes? Answer: A “normal” newborn has no abnormal medical conditions or need for special care. [...]