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Coding Newborn Ailments for Risk Adjustment

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Episource
March 22, 2022

Although most risk adjusting diagnoses for newborns are very rare, the conditions can be catastrophic when they do occur – both for the neonate’s health and to the cost of care. Understanding each of these conditions, the related codes, and common errors to avoid is essential in accurate risk adjustment coding for newborns.

Here are our suggestions for how to differentiate the unique, but common challenges that exist within newborn ailment coding.

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