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Pediatric Coding Alert

Pediatric Coding:

See What a Difference a Day Makes

Published on Tue Jul 07, 2026

Question: When a physician provides critical care to a neonate, and the patient turns 29 days old, should the first pediatric critical care service be billed as an initial visit because it falls under a new code set, or as a subsequent visit because the physician has been managing the patient all along? Louisiana Subscriber Answer: Beginning on day 29, you’ll use [...]
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