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August 28, 2025

Coding Guide – Newborn and Pediatrics


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Neonatologists, pediatricians and family physicians who care for newborns and sick children in the hospital need to select the category of code that describes the condition of the patient. Selecting the correct code varies based on if the baby or child is a healthy newborn,  a sick infant or child or a patient requiring intensive care or critical care.

There are distinct categories of codes to describe each of these situations. There are also codes that describe services to patients who are in the process of being transferred to a higher acuity facility. This billing guide describes the codes to use in each situation.

At the end of the guide, there is a sample (paper) charge slip that a group could use as a paper super bill, or for entry into an electronic charge system.

Table of contents:

  • Delivery/birthing room attendance and resuscitation services
  • Normal newborns
  • Inpatient status
  • Emergency
  • Observation
  • Transfer of care
  • Intensive care
  • Critical care
  • Summary charts
  • RVUs 2020

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Last revised May 28, 2025 - Betsy Nicoletti
Tags: newborn care

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions.

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