The new correct coding initiative (CCI) 16.1 made an edit to the encoders of the family should take note of – especially if the practice Patients tend to newborns.

See the latest edition of the International Criminal Court 16.1 and are prepared to observe the distribution experts.

View column 1 of the Hospital of E / Ms According to the latest CPI publishes these codes are in column 1 of the exclusive common (MOE) modifications:

• 99 231 (hospital following the day of E / S of a patient to be at least two of these three key components: a problem focused interval history, a problem focused examination, medical decision making is simple and low complexity …)
• 99.232 (… A story focused on the problem of extending the intervals, a more complete workup and decision making of moderate complexity …)
• 99 233 (… A full range of history, a detailed examination and medical decision making of high complexity …).

In column 2 of these changes offers with these codes:

• 99 460 (hospital or care center for the publication of parts per day for I / S normal newborn)
• 99,461 (initial attention, the day of E / S normal newborn is seen in other hospital or birth center)
• 99 462 (subsequent hospital care, per day. For E / M normal newborn).

Translation: A family doctor can not report both to the attention of hospital care normal newborn infant after a DOS on it (date of notification). If the PF performs regular services of the newborn (99.460 to 99.462) on the same date and the newborn later and get sick later hospital care (99231-99233), you should go for a set of codes code 99231-99233, according to Kent Moore, Director of Finance and health care delivery systems of the American Academy of Family Physicians (AAFP) in Leawood, Kansas

The services I care for newborns codes (99460-99463) are "normal" children (for children without medical problems, example), while the attention of the hospital following codes (99231-99233) are based service problems, according to Moore.

Since both sets service is referred to as "one day", medical coders must choose between them for a particular patient on a particular date. "According to nature of these services ME, correct coding initiative does not allow a switch to reverse the changes, "says Moore.

In a nutshell: You should never 99460-99262 and 99231-99233 as compared with the same patient on the same date of service.

Suzanne Leder, M.Phil., CPC, COBGC is a ob-gyn coding. Alert editor for five years and counting.she holds a specialty OB/GYN coding certification. Currently, an Executive Editor at the Coding Institute and has covered topics in cardiology, physical medicine and rehab, gastroenterology, neurology, orthopedics, and otolaryngology.