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PHYSICIAN IS RECORD OF NEWBORN INFANT PATIENT IDENTIFICATION MONTH DAY YEAR Milt. TIME WEIGHT BIRTH: LENGTH LBS OZ INCHES 1. ADMISSION EXAMINATION CODE* Description of Abnormal Findings INCHES CM
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How to fill out physicians record of newborn

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How to fill out the physician's record of newborn:

01
Consult the physician's record form provided by the healthcare provider or hospital.
02
Fill in the required information accurately, beginning with the baby's full name, date of birth, and gender.
03
Include the baby's birth weight, length, and head circumference, as well as any notable physical features or abnormalities.
04
Record the date and time of delivery, along with the location and type of delivery (vaginal or cesarean).
05
Document any complications or medical interventions that occurred during labor or delivery.
06
Note the overall health assessment of the newborn, including vital signs such as heart rate, breathing rate, temperature, and blood pressure.
07
Fill in the details of the baby's first physical examination, including a thorough assessment of the skin, head, eyes, ears, nose, throat, chest, heart, abdomen, genitalia, and extremities.
08
Record any vaccinations administered to the newborn, including the type, date, and dosage.
09
Include information about any prescribed medications, if applicable, along with the dosage and instructions for administration.
10
Leave space for additional notes or comments from the physician, if necessary.

Who needs the physician's record of newborn:

01
Parents or legal guardians of the newborn typically receive a copy of the physician's record to keep for their records and provide to other healthcare providers, if needed.
02
The primary care physician or pediatrician responsible for the baby's ongoing healthcare will also require the physician's record to maintain a comprehensive medical history.
03
Hospitals and healthcare facilities may retain a copy of the physician's record as part of the baby's medical records for future reference or legal purposes.
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People Also Ask about

Subsequent days of critical care to the critically ill neonate are reported per day with code 99469. As with the initial critical care, only one physician may report code 99469 on a given date.
For new patients making a well baby/well child care visit: • For infants under age 1, use CPT code 99381. For children ages 1 to 4 (early childhood), use CPT code 99382. For children ages 5 to 11 (late childhood), use CPT code 99383.
CPT® Code 99462 - Newborn Care Services - Codify by AAPC.
Baby Essentials for First 3 Months Car seat. Onesies, or other soft outfits. Baby sleepers or sleep sacks. Baby socks. Newborn hats, depending on climate. Disposable diapers or cloth diapers (and detergent for washing) Disposable wipes or 12 cloth wipes. Diaper rash cream.
In warm weather, dress your baby in a T-shirt and light cotton pants or a baby blanket over bare legs. If it's cold, put footie pajamas, a hat, and warm blanket over your baby. But be sure to keep all blankets far from your baby's face to avoid suffocation.
Care on the date of discharge may be reported with hospital discharge day management code 99238 or 99239 except when discharge takes place on the same date as initial newborn care (99463).
The Current Procedural Terminology (CPT®) code 99460 as maintained by American Medical Association, is a medical procedural code under the range - Newborn Care Services.

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Physician's record of newborn is a document that records the health information of a newborn baby, including vital signs, medical history, and any physical examination findings.
Physicians or healthcare providers who attended the birth of the newborn baby are required to file the physician's record of newborn.
The physician can fill out the newborn's record by documenting all relevant health information, including birth weight, length, Apgar scores, and any medical interventions.
The purpose of the physician's record of newborn is to provide a comprehensive overview of the baby's health status at birth, which can be used for medical treatment and follow-up care.
The physician must report detailed information about the baby's health, including birth weight, Apgar scores, any complications during labor and delivery, and any medical interventions.
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