![]() ![]() Codes for circumcision procedures include: Circumcisionįamily physicians who perform newborn circumcision should separately report this service. If separately documented in the mother's chart, you may report these services in addition to the services provided to the infant. If the nurse visit results in a visit with the physician, only the physician services would be reported.Īs a family physician, you may also address needs of the mother during a newborn's encounter (e.g., lactation problems). If a nurse visit is provided (e.g., weight screen only), code 99211 may be reported. (Codes may be selected based on time spent in counseling and coordination of care when documentation indicates more than 50% of face-to-face time was spent in these activities.) Diagnosis code Z00.121 (encounter for routine child health examination with abnormal findings) and the appropriate problem diagnosis would be used. Documentation should include approximate time spent face-to-face with the family and patient, notation of time spent in counseling, and context of counseling. However, if significant time beyond that typical of the infant preventive service is spent in counseling, physicians may also report a problem-oriented service (99212-99215) with modifier -25 to indicate the significant and separately identifiable services provided on the same date. This service includes time spent addressing routine feeding issues. Code 99391 may be reported with diagnosis code Z00.129 (encounter for routine child health examination without abnormal findings) for this service. If no feeding or other health problem has been previously noted, this visit may be the first well-child visit when provided by a physician, nurse practitioner, or physician assistant. ![]() When the visit is in follow-up to an identified problem such as jaundice, infrequent stools, or infrequent feedings, and the physician, nurse practitioner, or physician assistant provides the service, an office visit (e.g., 99212-99215) and problem specific diagnosis codes should be reported. Coding for this service depends on the provider of the service and whether the visit is in follow-up to an already identified problem or screening for problems. After the newborn has been discharged to home, it is common practice to see the infant to assess for jaundice or any feeding problems. ![]()
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