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newborn well visits

  1. #1
    Default newborn well visits
    Medical Coding Books

    first seen at 4 days old - well visit 99381 v20.2

    second visit at 11 days old - well visit doing well but undecended testicles and phimosis discovered...referred to peds urologist ( what should this be?)

    third visit at 25 days old - well visit 99391 v20.2

    My question is what are the time lines for newborn wellness checkups? Also should his second encounter be coded as a OV instead of PE

  2. #2
    Normally we see them at 3-5 days old, then around 2-3 weeks for f/u feeding/weight ck then if no issues we start the 2 mo 4mo 6mo 9mo 12mo 15mo 18mo 2years then once a year after. Aap calls for this schedule. You can check it on thier website. Some insurances will only pay for so many visits so i try and stick to this schedule. Also our secretaries know this so they can book accordingly. If anything occurs in between these visits it s/b a sick related visit. Hope that helps. As for that 11 day old visit that would be sick on our books but it depends on your md's documentation.

  3. Default new well baby codes
    Note there are new codes for well baby check ups based on age:
    - v20.31 = 0-8 days of life
    - v20.32 = 8-28 days of life
    - then the regular v20.2 code is used after 28 days of life

  4. #4
    Default Coding well baby visits in the office
    Hi there,
    I'm just trying to get a more rounded exposure to all things coding and wanted to know how you bill for those 2mo, 4mo, etc visits in the office. I just find coding really interesting and would appreciate any responses. Thanks !

  5. Default
    regularly scheduled well baby checks (3 days of life, 2 weeks of life, 4 weeks of life, 2 months of life, 4 months..., 6 months..., 9 months..., 12 months..., 15 months..., 18 months..., 24 months...) are coded as a preventive procedure code (99381, 99391, 99382, 99392)

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