Helen, there's been a lot written about this topic, mostly stemming from the fear of using up yearly preventive visits. The American Academy of Pediatrics, in their coding newsletter from July 2008, has a lot of good info about NB follow-ups visits. Contact me off forum and I'll send you a copy. Also, if you can get your hands on a copy of the AAP's book, Coding For Perdiatrics, there's a wealth of info there.
We typically see infants in the office around 4 days after nursery discharge. Our physicians sometimes want to report the visit as 99213 or 99214 (they've been seen in the nursery, so they're not new pts..), but I fall back on a CPT Assistant bulletin from the Spring of 1993 and ask them, "Was the exam conducted in the absence of complaints, concerns, symptoms, etc.?" If so, you should report the visit using the preventive medicine series of codes.
Hope this helps,
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