2007;44(3):354-358. Normal newborn care services are reported with these codes: 99460 Initial hospital or birthing center care, per day, for E/M of normal newborn infant 99462 Subsequent hospital care, per day, for E/M of normal newborn The Coding for Pediatrics manual defines a normal newborn as the following: Transitions to life in the usual manner. Arch Dis Child Fetal Neonatal Ed. San Carlos, CA: Natus Medical Inc.; 2002. The initial day of critical care for the evaluation and management of a critically ill neonate, 28-days of age or less, is reported with code 99468. Newborn/neonate - Age ranges from birth to 28 days Anomaly - Developmental deformity Congenital - Condition present at birth, however, may not manifest until later in life 5 Neonatal Coding Guidelines Newborn/perinatal conditions are never reported on the mother's record, and likewise, pregnancy Otherwise, at 3 to 4 years of age, the hernia will be surgically repaired. Pediatrics. Mishra S, Cheema A, Agarwal R, et al. 2010;15(3):169-175. A total of 447 Chinese neonates with hyperbilirubinemia were selected as the study group and 544 healthy subjects were recruited as the control group matched by baseline sex, age, feeding pattern and delivery mode. Aetna considers management of physiologic hyperbilirubinemia medically necessary in preterm infants (defined as an infant born prior to 37 weeks gestation) according to guidelines published by the AAP. Resources The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were used for reporting methods and results of synthesis with meta-analysis. Murki S, Dutta S, Narang A, et al. Indirect evidence from 3 descriptive uncontrolled studies suggested favorable associations between initiation of screening and decrease in hyperbilirubinemia rates, and rates of treatment or re-admissions for hyperbilirubinemia compared with the baseline of no screening. Two studies also provided results as Bland-Altman difference plots (mean TcB-TSB differences -29.2 and 30 mol/L, respectively). In a Cochrane review, Thomas et al (2007) stated that neonates from isoimmunized pregnancies have increased morbidity from neonatal jaundice. After the newborn begins to breath on his own, the fetal blood is destroyed and replaced with blood that works with lungs. Available at: http://www.emedicine.com/med/topic1065.htm. There was no difference in the treatment efficacy and TSB, while there was a significant difference in phototherapy duration and side effects after treatment of intermittent phototherapy and continuous phototherapy for neonatal hyperbilirubinemia. The influence of zinc sulfate on neonatal jaundice: A systematic review and meta-analysis. Aetna considers prebiotics / probiotics experimental and investigational for the treatment ofneonatal hyperbilirubinemia becausetheir effectiveness for this indication has not been established. 4th ed. The authors concluded that home-based phototherapy was more effective than hospital-based phototherapy in treatment for neonatal hyperbilirubinemia; home-based phototherapy was an effective, feasible, safe, and alternative to hospital-based phototherapy for neonatal hyperbilirubinemia. The genotype of Gilbert syndrome, the UGT1A1*28 allele, causes markedly reduced activity of this enzyme, but its association with neonatal hyperbilirubinemia is uncertain and its relationship with extreme hyperbilirubinemia has not been studied. More commonly seen in the documentation are: Without a diagnosis, abnormal results of routine screenings should not be coded unless the pediatrician states the abnormal results have implications for future healthcare. OL OL OL OL LI { The therapy may be in the form of a lamp, light panel, or special light blanket. Sometimes issues heal without interventions, such as minor hematomas from the birth process and laceration from the fetal monitoring electrode. Atotal of 686 healthy newborns needing measurement of their bilirubin were enrolled over a 4-month period. [Phototherapy of newborn infants] The effect of light treatment on neonates with jaundice was discovered in 1958. All Rights Reserved. For preterm neonates, there was a significantly lower bilirubin level in the 100 mg/kg clofibrate group compared to the control group with a mean difference of -1.37 mg/dL (95 % CI: -2.19 mg/dL to -0.55 mg/dL) (-23 mol/L; 95 % CI: -36 mol/L to -9 mol/L) after 48 hours. These investigators reviewed the current literature to examine if home-based phototherapy is more effective than hospital-based phototherapy for the treatment of neonatal hyperbilirubinemia. In a systematic review and meta-analysis, Chu and colleagues (2021) examined if intermittent phototherapy is more effective than continuous phototherapy in the treatment of neonatal hyperbilirubinemia. These investigators searched CENTRAL (The Cochrane Library 2014, Issue 1), MEDLINE (1966 to November 30, 2014), and EMBASE (1990 to November 30, 2014). 66920 Removal of lens material; intracapsular. cpt code for phototherapy of newborn - ccecortland.org } 2021;77(1):12-22. Practice patterns in neonatal hyperbilirubinemia. In a Cochrane review on early (less than8 days) postnatal corticosteroid treatmentfor preventing chronic lung disease in preterm infants, Halliday et al(2010) concluded that the benefits of early postnatal corticosteroid treatment, especially DXM, may not out-weigh the known or potential adverse effects of this treatment. The USPSTF and the Agency for Healthcare Research and Quality (2009) reported on the effectiveness of various screening strategies for preventing the development of CBE. The authors concluded that the findings of this study demonstrated that the 388 G>A mutation of the SLCO1B1 gene is a risk factor for developing neonatal hyperbilirubinemia in Chinese neonates, but not in white, Thai, Brazilian, or Malaysian populations; the SLCO1B1 521 T>C mutation provides protection for neonatal hyperbilirubinemia in Chinese neonates, but not in white, Thai, Brazilian, or Malaysian populations. Hospital readmission due to neonatal hyperbilirubinemia. } 2014;134(3):510-515. 1992;31(6):345-352. A total of 15 studies (2 including preterm neonates and 13 including term neonates) were included in this review. Maisels MJ, McDonagh AF. 1990;4(6):304-308. All but 1 of the included studies were conducted in Iran. If the abnormal results lead to diagnostic testing, they should be coded on an inpatient record. Data were statistically extracted and evaluated using RevMan 5.3 software. The beroptic system consists of a pad of For these hydroceles, the swelling will become greater and decrease. Honar et al (2016) found that ursodiol added at the time of phototherapy initiation showed a significant reduction in peak bilirubin levels and duration of phototherapy in term infants with unconjugated hyperbilirubinemia without any adverse effects. Links to various non-Aetna sites are provided for your convenience only. Usually, procedures coded: Low-cost, low-risk screening and prevention procedures usually are not coded. Aggressive phototherapy did reduce rates of neurodevelopmental impairment (26 %, versus 30 %for conservative phototherapy; relative risk, 0.86; 95 % CI: 0.74 to 0.99). Phototherapy to prevent severe neonatal hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Wong RJ, Bhutani VK. Philadelphia, PA: W.B. Morris BH, Oh W, Tyson JE, et al; NICHD Neonatal Research Network. } 2020;59(6):588-595. background: #5e9732; When the newborn is critically ill or injured, codes exist for reporting of services provided during interfacility transport, initial critical care, and subsequent critical services. Aetna considers measurement of glucose-6-phosphate dehydrogenase (G6PD) levelsmedically necessary for jaundiced infants who are receiving phototherapy, where response to phototherapy is poor, or where the infant is at an increased risk of G6PD deficiency due to family history, ethnic or geographic origin. Depending on the study, 2 to 10 percent of newborns have inconclusive results at discharge (e.g., there may be fluid in the middle ear; the newborn may be fussy; one ear might pass, but the other does not). 1998;101(1 Pt 1):25-31. Lacrimal ducts are the drainage system for fluid that lubricates the eye. Bhutani VK; Committee on Fetus and Newborn; American Academy of Pediatrics. Newborn jaundice happens when the newborns liver and sunshine on the newborns skin dont remove the fetal blood components in an efficient manner. Ambalavanan N, Carlo WA. Gu J, Zhu Y, Zhao J. Additional citations were identified from the bibliography of selected articles and from the abstracts of conference proceedings. } The following are general age-in-hours specifictotal serum bilirubin (TSB)threshold values for phototherapy based upon gestational age and the presence or absence of risk factors (isoimmune hemolytic disease, glucose-6-phosphate dehydrogenase [G6PD] deficiency, asphyxia, significant lethargy, temperature instability, sepsis, acidosis, or albumin of less than 3.0 g/dL [if measured]): Footnotes* Low Risk: 38 weeks gestation and without risk factors; Medium Risk: 38 weeks gestation with risk factors or 35 to 37 6/7 weeks gestation without risk factors; High Risk: 35 to 37 6/7 weeks gestation with risk factors. Genotypes were obtained through the Danish Neonatal Screening Biobank. 1995;96(4 Pt 1):727-729. N Engl J Med. Kernicterus in full-term infants--United States, 1994-1998. Immaturity is not congenital absence, agenesis, stenosis, stricture, or malformation. Aetna considers the use of antenatal phenobarbital to reduce neonatal jaundice in red cell isoimmunized pregnant women experimental and investigational because its effectiveness has not been established. Hamelin K, Seshia M. Home phototherapy for uncomplicated neonatal jaundice. Screening is usually done as close as possible to inpatient discharge for this reason. Kumar P, Chawla D, Deorari A. Light-emitting diode phototherapy for unconjugated hyperbilirubinaemia in neonates. Typically, no extra resources are required during the newborn hospitalization, so do not code the condition. American Academy of Pediatrics Subcommittee on Hyperbilirubinemia. Guidelines from the AAP stated: "There is now evidence that hyperbilirubinemia can be effectively prevented or treated with tin-mesoporphyrin, a drug that inhibits the production of heme oxygenase. Otherwise healthy newborn infants with hyperbilirubinemia without signs of hemolytic disease; gestational age 33 weeks; birth weight . Both case and control subjects were full term newborns. Bilirubin recommendations present problems: New guidelines simplistic and untested. If another physician provides critical care services to the neonate on the same date, that physician must report the services with critical care service codes 99291-99292. Aetna considers genotyping of BLVRA, SLCO1B1 and UGT1A1 experimental and investigational for assessing risk of neonatal hyperbilirubinemia because the clinical value of this approach has not been established. [Phototherapy of newborn infants] - PubMed TcB should not be used in patients undergoing phototherapy.". Clinical evaluation (e.g., specialty consult during the hospitalization); Therapeutic treatment (e.g., bili lights for clinically significant neonatal jaundice); Diagnostic procedures (e.g., ultrasound due to sacral dimple); Extended length of hospital stay (e.g., beyond the average for the MS-DRG); Increased nursing care and/or monitoring (e.g., neonatal intensive care unit); or. Percussion should not cause red marks on your child. In a Cochrane review, Gholitabar et al (2012) examined the safety and effectiveness of clofibrate in combination with phototherapy versus phototherapy alone in unconjugated neonatal hyperbilirubinemia. Hospitals typically decide the data provided by 3E0CX2 is not coded because it takes time to collect, clutters the rest of the data, and does not provide information to improve patient care or efficiency. They used a fixed-effect method in combining the effects of studies that were sufficiently similar; and then used the GRADE approach to assess the quality of the evidence. The literature search was done for various RCTs by searching the Cochrane Library, PubMed, and Embase. Suresh GK, Martin CL, Soll RF. Menu penelope loyalty quotes. Phototherapy was well-tolerated without evidence of significant photo-damage or photo-carcinogenicity. Although screening can predict hyperbilirubinemia, there is no robust evidence to suggest that screening is associated with favorable clinical outcomes. Sometimes, fluid builds up inside the lining, causing a hydrocele. Polymerase chain reaction analysis on blood spot was performed to determine the frequency of UGTA1A1 promoter polymorphisms in cases and controls. Front Pharmacol. Metalloporphyrins in the management of neonatal hyperbilirubinemia. Deshmukh J, Deshmukh M, Patole S. Probiotics for the management of neonatal hyperbilirubinemia: A systematic review of randomized controlled trials. Participating providers are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates. Clin Pediatr (Phila). Aetna considersexchange transfusionmedically necessary forterm andnear-term infantsaccording to guidelines published by the American Academy of Pediatrics (AAP). Oral zinc for the prevention of hyperbilirubinaemia in neonates. No (TA)8 repeat was found in the 2 groups. Most of the included studies only mentioned the use of random allocation, but they did not describe the specific random allocation method. PDF CP.MP.150 Phototherapy for Neonatal Hyperbilirubinemia - Health Net Oregon Treatment effects on the following outcomes were determined: mean change in bilirubin levels, mean duration of treatment with phototherapy, number of exchange transfusions needed, adverse effects of clofibrate, bilirubin encephalopathy and neonatal mortality. list-style-type: upper-alpha; 1991;91:483-489. Neonatal Hyperbilirubinemia - Medical Clinical Policy Bulletins | Aetna 'New' bilirubin recommendations questioned. Evaluation and management (E/M) services provided to normal newborns in the first days of life prior to hospital discharge are reported with Newborn Care Services codes. Correlation between neonatal hyperbilirubinemia and vitamin D levels: A meta-analysis. Both trials in preterm neonates and most of the trials in term neonates (5 trials) reported increased stool frequencies. 2007;(2):CD005541. No study assessed harms of screening. These are not additional resources. Blood testing done as a diagnostic test, however, meets the requirements for coding the jaundice. herman's coleslaw recipe. 2017;30(16):1953-1962. Behrman RE, ed. Huang J, Zhao Q, Li J, et al. Porter ML, Dennis BL. Newborn Care 1. 2019;55(9):1077-1083. For the G6PD 1388 G>A SNP, individuals carrying the A-allele were associated with a significantly increased risk of neonatal hyperbilirubinemia (adjusted OR=1.49, p< 0.001, 95 % CI: 1.31 to 1.67). The pediatrician will wait watchfully and check the clavicle until its healed. The meta-analyses of 2 studies demonstrated a significant reduction in the length of hospital stay (MD -10.57 days, 95 % CI: -17.81 to -3.33; 2 studies, 78 infants; I = 0 %, p = 0.004; low-quality evidence). Nagar and associates (2016) noted that TcB devices are commonly used for screening of hyperbilirubinemia in term and near-term infants not exposed to phototherapy. text-decoration: line-through; display: block; Treating providers are solely responsible for medical advice and treatment of members. During an initial newborn evaluation, watchful waiting conditions are findings that usually resolve without medical intervention in a few weeks to a few years. Lazar L, Litwin A, Nerlob P. Phototherapy for neonatal nonhemolytic hyperbilirubinemia. Pediatrics. This indicated that cure may have been achieved in a minority of patients. Studies were analyzed for methodological quality in a "Risk of bias" table. There is insufficient evidence to support the use of metalloporphyrins (e.g., stannsoporfin (tin mesoporphyrin), Stanate, WellSpring Pharmaceutical Corporation, Neptune, NJ) for the treatment of neonatal jaundice. Approximately 10 to 20 percent of newborns have an umbilical hernia. The ball at the proximal end of the femur is supposed to fit snuggly into the acetabulum (the cup-shaped depression in the pelvis). They stated that further research is needed before the use of TcB devices can be recommended for these settings. cpt code for phototherapy of newbornhippo attacks human video. Moreover, individuals carrying the A-allele of G6PD 1388 G>A and BLVRA rs699512 had a significantly increased risk of developing neonatal hyperbilirubinemia (OR=5.01, p< 0.001, 95 % CI: 3.42 to 7.85). They stated that there is a need for larger trials to determine how effective clofibrate is in reducing the need for, and duration of, phototherapy in term and preterm infants with hyperbilirubinemia. list-style-type: lower-alpha; Do not use S42.0- Fracture of clavicle for the initial encounter or subsequent professional encounters. Aetna's policy on treatment of hyperbilirubinemia in infants is adapted from guidelines from the American Academy of Pediatrics. --> If time is not significant, and it does not impact medical decision-making, it does not meet the definition of an additional professional encounter diagnosis. Code 99477 represents initial hospital care of the neonate (28 days or younger) who is not critically ill but requires intensive observation, frequent interventions, and other intensive care services. Deshmukh and associates (2017) noted that neonatal jaundice requiring phototherapy is associated with significant socioeconomic burden including hospital re-admission, prolonged hospital stay, and separation of the baby from mother. Chu L, Qiao J, Xu C, et al. Randomized and quasi-randomized controlled trials of pregnant women established to have red cell isoimmunization in the current pregnancy during their antenatal testing and given phenobarbital alone or in combination with other drugs before birth were selected for review. OL OL OL OL OL LI { TcB measurements were inaccurate, regardless of phototherapy technique (Bilibed, conventional phototherapy). So, it was hard for these investigators to determine whether the allocation scheme was appropriate and whether blinding of participants and personnel was implemented. Cincinnati Childrens, umbilical hernia: www.cincinnatichildrens.org/health/u/umbilical-herni, Copyright 2023, AAPC A total of 716 neonates were included in the meta-analysis. Stevenson DK, Fanaroff AA, Maisels MJ, et al. Codes for circumcision procedures include: When providing E/M services to other than normal newborns, choose the level of care based on the intensity of the service and status of the newborn. The authors concluded that limited low-quality evidence indicated that probiotic supplementation may reduce the duration of phototherapy in neonates with jaundice. Clinical Policy: Phototherapy for Neonatal Hyperbilirubinemia Reference Number: CP.MP.150 Coding Implications . on Watchful Waiting:Collecting Newborn Information, Watchful Waiting:Collecting Newborn Information, Tech & Innovation in Healthcare eNewsletter, Capture Active Duty Diagnoses with DoD Unique Codes, Finally Tobacco Use That Isn't a Mental Health Issue, Know Your Payer to Make the Most of Modifier 24, Modifier 25 for E/M on the Day of an Injection Procedure. 6. Seven (2 prospective) studies evaluated the ability of risk factors (n = 3), early TSB (n = 3), TcB (n = 2), or combinations of risk factors and early TSB (n = 1) to predict hyperbilirubinemia (typically TSBgreater than 95th hour-specific percentile 24 hours to 30 days post-partum). map of m6 motorway junctions. When the newborn jaundice requires additional resources, the correct diagnosis is usually found under P58 Neonatal jaundice due to other excessive hemolysis or P59 Neonatal jaundice from other and unspecified causes codes. } This study compared oral zinc with placebo. Wong RJ, Bhutani VK. Liu J, Long J, Zhang S, et al. J Matern Fetal Neonatal Med. Merenstein GB. 2023 ICD-10-PCS Codes 6A6*: Phototherapy - ICD10Data Pediatrics. Phototherapy is the use of visible light to treat severe jaundice in the neonatal period. The UGT1A1*28 allele was assessed in a case-control study of 231 white infants who had extreme hyperbilirubinemia in Denmark from 2000 to 2007 and 432 white controls. OL OL OL LI { Sharma D, Farahbakhsh N, Sharma P, Shastri S. Role of oral zinc supplementation for reduction of neonatal hyperbilirubinemia: A systematic review of current evidence. De Luca D, Zecca E, Corsello M, et al. Read more Therefore, its functional efficiency is important for your market reputation. However, the accuracy of TcB devices in infants exposed to phototherapy is unclear. If this is your first visit, be sure to check out the. High Intensity Phototherapy: Double vs. Single - Home - ClinicalTrials.gov They stated that TSB assessment remains necessary, if treatment of hyperbilirubinemia is being considered. Stevenson DK, Wong RJ. Gholitabar M, McGuire H, Rennie J, et al. When no additional resources are used, this is not coded on the inpatient record, and is part of the pediatricians well-baby check. CG-DME-12 Home Phototherapy Devices for Neonatal Hyperbilirubinemia Home-based phototherapy versus hospital-based phototherapy for treatment of neonatal hyperbilirubinemia: A systematic review and meta-analysis. This generally refers to an undescended or maldescended testis. Screening had good ability to detect hyperbilirubinemia: reported area-under-the-curve values ranged between 0.69 and 0.84, and reported sensitivities and specificities suggested similar diagnostic ability. These researchers systematically evaluated the safety and efficacy of probiotics supplement therapy for pathological neonatal jaundice. Phototherapy for neonatal jaundice. Last Review No studies met the inclusion criteria for this review. ol.numberedList LI { Learn how we are healing patients through science & compassion, Stanford team stimulates neurons to induce particular perceptions in mice's minds, Students from far and near begin medical studies at Stanford. There were no reports of the need for exchange transfusion and incidence of acute bilirubin encephalopathy, chronic bilirubin encephalopathy, and major neurodevelopmental disability in the included studies. Clin Pediatr (Phila). Although the duration of phototherapy in the zinc group was significantly shorter compared to the placebo group (n = 286; MD -12.80, 95 % CI: -16.93 to -8.67), the incidence of need for phototherapy was comparable across both the groups (n = 286; RR 1.20; 95 % CI: 0.66 to 2.18). Evaluation of unconjugated hyperbilirubinemia in term and late preterm infants. A total of 9 RCTs (prophylactic: 6 trials, n=1,761; therapeutic: 3 trials, n=279) with low- to high-risk of bias were included. Systematic review of global clinical practice guidelines for neonatal hyperbilirubinemia. Although generally seen as safe, there is rising concern regarding phototherapy and its potentially damaging effects on DNA and increased side effects particularly for pre-term infants. FN07-02. Do not code the condition as part of the newborn hospitalization unless it requires a consult, diagnostic or therapeutic services, prolonged length of stay, increased nursing services, or there is documentation by the provider for future healthcare needs. The pediatrician notes the abnormal results have implications for future healthcare. 96.4. Eye issues due to immaturity or from the ointment applied to the newborns eyes. Stigma (plural stigmata) is a finding that may indicate an abnormal condition, such as a sacral dimple without a visible floor being stigma for occult spina bifida. In that case, other conditions can be coded if they were involved in medical decision-making, or otherwise affected the episode of care. 66940 Removal of lens material; extracapsular (other than 66840, 66850, 66852) Learn more about pediatric cataract billing in Ophthalmic Coding: Learn to Code . J Pediatr. These researchers examined whether the UGT1A1*28 allele is associated with extreme hyperbilirubinemia. Prophylactic phototherapy for preventing jaundice in preterm or low birth weight infants. This reduction may be offset by an increase in mortality among infants weighing 501 to 750 g at birth. Extreme neonatal hyperbilirubinemia and a specific genotype: A population-based case-control study. padding: 10px; Do I Use 25 or 59 for Same-day Assessment and E/M? Hyperbilirubinemia in the term newborn. Compared with hospital-based phototherapy, home-based phototherapy appeared more effective for the treatment of neonatal hyperbilirubinemia in reducing the rate of total serum bilirubin (standard mean difference [SMD] = 0.32, 95 % CI: -0.22 to 0.86, p = 0.04); however, there was no signicant difference in duration of phototherapy (SMD = 0.59, 95 % CI: 0.28 to 0.90, p = 0.06) in the 2 groups. Pediatrics. Aggressive vs. conservative phototherapy for infants with extremely low birth weight. Discharge normal newborn day 3 _____ 2. UGT1A1 is the rate-limiting enzyme in bilirubin's metabolism. Initial hospital or birthing center care, per day, for E/M of normal newborn infant, Initial care per day, for E/M of normal newborn infant seen in other than hospital or birthing center, Initial hospital or birthing center care, per day, for E/M of normal newborn infant admitted and discharged on the same date, Circumsion, using clamp or other device with regional dorsal penile or ring block, Circumsion, as above, without dorsal penile or ring block, Circumsion, surgical excision, other than clamp, device, or dorsal slit, neonate (28 days of age or less), Circumsion, surgical excision, other than clamp, device, or dorsal slit, neonate, old then 28 days of age. Hyperbilirubinemia in the Term Newborn | AAFP When to use normal care, sick care codes for newborns in hospital Support teaching, research, and patient care. Numerous skin findings may be noted, but are not coded in the inpatient record unless they are clinically significant. J Pediatr Gastroenterol Nutr. 2012;1:CD007966. 66850 Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration. One infant (1.6%) met all three AAP guideline criteria of being DAT-positive, bilirubin within 3 of exchange level, and rising bilirubin despite intensive phototherapy. OL OL LI { 2021;34(21):3580-3585. .strikeThrough { A total of 150 term Caucasian neonates, 255 measurements of TSB and TcB concentration were obtained 2 hours after discontinuing phototherapy. .fixedHeaderWrap { Fractured clavicles are usually noted by the pediatrician on the newborn evaluation, but do not meet the definition of clinical significance. Report an inclusive screening finding (R94.120 Abnormal auditory function study) in the professional record so the newborn can be retested at the well-baby checks. A total of 25 infants had been randomized into the DXM group; 29 into the placebo group. And immature lacrimal glands mature, hydroceles close, and hip joint motion usually improves without need for intervention. The rate of neurodevelopmental impairment alone was significantly reduced with aggressive phototherapy. I have a provider that ordered phototherapy for a newborn in the hospital with jaundice and he is wanting to bill 96900. These usually heal and resolve on their own. Data were statistically extracted and evaluated by RevMan 5.3 software. PubMed, Scopus, Embase, Cochrane library, CBM, CNKI, and Wanfang Data were searched to collect the comparative study of home-based phototherapy versus hospital-based phototherapy for the treatment of neonatal hyperbilirubinemia. These researchers stated that healthcare organizations and health workers should choose intermittent phototherapy as the preferred therapy for neonatal hyperbilirubinemia. Guidelines for detection, management and prevention of hyperbilirubinemia in term and late preterm newborn infants (35 or more weeks gestation). Accessed January 30, 2019 . Thirteen infants homozygous for (TA)7 polymorphism associated with GS were in the case group (18.6 %) and 14 in the control group (20.0 %). Code 99391 may be reported with diagnosis code Z00.129 (encounter for routine child health examination without abnormal findings) for this service. Second, according to Cochrane risk of bias estimation, randomized allocation of participants was mentioned in 9 trials. color: #FFF; Prediction of hyperbilirubinemia in near-term and term infants. Also, no association was found for AB0 incompatible cases. Thayyil S, Milligan DW. Approximately one in 1,000 children have congenital developmental dysplasia of the hip, which is coded Q65.89 Other specified congenital deformities of hip. top: 0px; } Aetna considers massage therapy experimental and investigational for the treatment ofneonatal hyperbilirubinemia because its effectiveness has not been established. 1992;89:827-828. Do not code this condition for the newborn inpatient encounter, unless additional resources are used.
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