Does anyone have any idea if there is a protocol or restriction on what CPT code can /should be billed out with the new neonatal WCC codes V20.31 and V20.32? There are instances which we do just a basic weight check and not much else that would substantiate a low level E/M, but there are other times when we need a full check-up due to problems when the baby was born which we would more likely bill a Physical code 99391.

I would rather treat these as E/M visits as we will often have problems with payors due to limits on # of Well Visits allowed per first year, but I also want to make sure we are doing the right thing.

Anybody have any info on this?