267 Pediatricians will probably be remembering many International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes for years to come, well after they are no longer reported. And of these, probably none will be more memorable than the most common reason for visits, the V20 diagnosis codes associated with well-child visits. For International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), the preventive medicine codes have been expanded to include 6 characters beginning with the letter Z (Table 1). The ICD-10-CM tabular list instructs that codes for an abnormal finding at the well- newborn or well-child encounter are also reported. Additional diagnosis codes for abnormal findings may be reported when applicable, even when the problem does not require significant evaluation and management (E/M) in addition to the preventive medicine service provided. Codes from category P07, disorders of newborn related to short gestation and low birth weight, not elsewhere classified, are for use for a child or an adult who was premature or had a low birth weight as a newborn and this is affecting the patient’s current health status (Table 2). The following list is a translation of the ICD-9-CM codes for diagnoses included in the American Academy of Pediatrics coding guidance, “Supporting Breastfeeding and Lactation: The Primary Care Pediatrician’s Guide to Getting Paid” (www2.aap.org /breastfeeding/files/pdf/coding.pdf). Codes in this list describe many conditions common to the newborn and infant. The list also includes codes for conditions of the mother when associated with lactation. (This list is not all-inclusive please check an ICD-10-CM coding manual or online reference for additional information when reporting these conditions.) Table 1. Well-Newborn Diagnosis Codes ICD-9-CM ICD-10-CM V20.31 Health supervision for newborn under 8 days old Z00.110 Health examination for newborn under 8 days old V20.32 Health supervision for newborn 8 to 28 days old Z00.111 Health examination for newborn 8 to 28 days old V20.2 Routine infant or child health check Z00.121 Encounter for routine child health examination with abnormal findings Z00.129 Encounter for routine child health examination without abnormal findings Abbreviations: ICD-9-CM, International Classification of Diseases, Ninth Revision, Clinical Modification ICD-10-CM, International Classification of Diseases, 10th Revision, Clinical Modification. Appendix B-19 Newborn and Infant Visits (continued on page 268)
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