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July 2004 · Vol. 16, No. 7

REIMBURSEMENT ADVISER

When is an infant no longer a newborn?

MELANIE  WITT,  RN, CPC, MA

Q

We performed a circumcision in the office. Code 54150 is listed as “Circumcision with a clamp on a newborn,” while 54152 is simply “Circumcision with a clamp.” What is the definition of newborn?

A

“Newborn” refers to a liveborn infant during the first 25 days, 23 hours, and 59 minutes of life (from the 1972 American College of Obstetricians and Gynecologists book Obstetric-Gynecologic Terminology, edited by Edward C. Hughes, MD). CPT uses this same definition.

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