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Official Description

Initial care, per day, for evaluation and management of normal newborn infant seen in other than hospital or birthing center

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Short Descr INIT NB EM PER DAY NON-FAC
Medium Descr 1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER
Long Descr Initial care, per day, for evaluation and management of normal newborn infant seen in other than hospital or birthing center
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Items and Services Not Billable to the MAC
Type of Service (TOS) 1 - Medical Care
Berenson-Eggers TOS (BETOS) M6 - Consultations
MUE 1
CCS Clinical Classification 227 - Other diagnostic procedures (interview, evaluation, consultation)

This is a primary code that can be used with these additional add-on codes.

96161 Telehealth Service (Medicare) Add-on Code Telemedicine Service (AMA) Audio-Only Telemedicine (AMA) MPFS Status: Active Code APC S Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument
Date
Action
Notes
2011-01-01 Changed Short description changed.
2009-01-01 Added -
Code
Description
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