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    v1.0.28
    OpenPayerBilling CodesHome Visit ServicesCPT cpt-99502-newborn-home-visit-newborn-evaluation-education
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    CPT 99502: Newborn Home Visit for Evaluation and Education

    CPT code 99502 describes a home visit by a qualified home health provider (for example, a registered nurse) to evaluate a newborn and provide newborn care education to the parent or caregiver; the service type is home nursing visit for newborn assessment and education and the typical site of service is the patient's home.

    For related coverage guidance, see recent payer policy updates: Interferential Stimulation Devices (for home use), Durable Medical Equipment (DME): Tumor Treating Fields (Alternating Electric Field Therapy) Medical Guideline, Durable Medical Equipment (DME): Bone Growth Stimulators Medical Guideline.

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    Clinical & Coding Specifications

    Clinical Context

    A postpartum patient receives a home visit from a licensed home health provider, commonly a registered nurse, within the first few days after delivery to evaluate the newborn and provide newborn care education to the parent. Typical workflow: the home health agency schedules the visit after discharge from the hospital or birthing center; the nurse verifies patient identity, reviews delivery and neonatal records, and performs a focused newborn assessment including weight, temperature, feeding assessment, cord/stump inspection, skin/jaundice check, respiratory and cardiac observation, and screening for signs of infection or dehydration. The nurse documents maternal counseling on feeding (breastfeeding or formula), safe sleep, newborn hygiene, circumcision care if applicable, immunization schedule review (Hepatitis B), and instructions for follow-up with the pediatrician or newborn clinic. If maternal or newborn issues are identified (poor feeding, fever, jaundice, wound concern), the nurse communicates with the supervising clinician and arranges timely outpatient or emergency care. Typical timeframe: single skilled nursing visit in the home, often within 24–72 hours after hospital discharge for term newborns or earlier for high-risk infants.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    99501Home visit for newborn care and/or infant care, initial; performed by a physician or other qualified health care professionalAlternative initial newborn home visit code when performed by a physician or qualified non-RN clinician; may be billed in different circumstances or by different provider types.
    99429Unlisted preventive medicine service, new or established patientMay be used if a comprehensive preventive service is furnished that does not map to standard newborn home visit codes (use with caution and documentation).
    99441Telephone evaluation and management service by a physician or other qualified health care professional, 5-10 minutes of medical discussionUsed if follow-up counseling or triage is performed by phone rather than a home visit after 99502.
    99341Home visit for evaluation and management of a new patient, typically 20 minutesUsed when a broader E/M home visit is clinically warranted for the mother or newborn and meets time and complexity requirements beyond the newborn-focused 99502.
    99460Initial hospital or birthing center care, per day, for evaluation and management of normal newbornRelated inpatient newborn evaluation code; 99502 often occurs after discharge when inpatient care (99460) has ended.
    90460Immunization administration via any route of single vaccine by healthcare professionalMay be performed during home visit if payer and local protocols permit Hepatitis B or other newborn immunizations at home; document vaccine and consent.

    Related Modifiers

    6 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    55Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
    80CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
    82Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    163W00000XRegistered Nurse(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive…
    251B00000XCase Management AgencyAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access…
    363A00000XPhysician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and…
    164W00000XLicensed Practical NurseAn individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required f…
    246ZG0701XGraphics Methods Specialist/TechnologistNone
    2278P3900XNeonatal/Pediatric Certified Respiratory TherapistThe care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and g…
    173000000XLegal MedicineThe specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical …
    163WX0002XHigh-Risk Obstetric Registered NurseNursing Service Providers · Registered Nurse

    Related ICD-10-CM Codes

    21 rows

    ICD-10-CM CodeDescription
    O80Encounter for full-term uncomplicated delivery
    O82Encounter for cesarean delivery without indication
    P07.21Extreme immaturity of newborn, gestational age less than 23 completed weeks
    P07.22Extreme immaturity of newborn, gestational age 23 completed weeks
    P07.30Preterm newborn, unspecified weeks of gestation
    P07.33Preterm newborn, gestational age 30 completed weeks
    P07.37Preterm newborn, gestational age 34 completed weeks
    P59.9Neonatal jaundice, unspecified
    P92.5Neonatal difficulty in feeding at breast
    P96.2Withdrawal symptoms from therapeutic use of drugs in newborn

    Showing 1–10 of 21

    Related Payer Policy Updates

    Specialty: Durable Medical Equipment (DME)1 / 3

    5 rows

    PolicyPayerEffective Date
    Interferential Stimulation Devices (for home use)Moda Health2026-10-01
    Durable Medical Equipment (DME): Tumor Treating Fields (Alternating Electric Field Therapy) Medical GuidelineWPS Health Insurance2026-10-01
    Durable Medical Equipment (DME): Bone Growth Stimulators Medical GuidelineWPS Health Insurance2026-10-01
    General Durable Medical Equipment (DME) Medical GuidelineWPS Health Insurance2026-10-01
    Prior Authorization for Durable Medical Equipment (DME)Blue Cross Blue Shield - Rhode Island2026-10-01

    Related Codes

    CPT-99500-HOME-PRENATAL-MONITORING-ASSESSMENT

    CPT 99500: Prenatal Home Health Visit for Pregnancy Complications

    CPT-99501-POSTPARTUM-NEWBORN-HOME-VISIT

    CPT 99501: Home Health Visit for Postpartum and Newborn Follow-Up

    CPT-99503-HOME-RESPIRATORY-THERAPY-NON-PHYSICIAN-PROVIDER

    CPT 99503: Respiratory Therapy in Patient's Home

    CPT-99504-HOME-MECHANICAL-VENTILATION-CARE-RESPIRATORY-THERAPIST

    CPT 99504: Home Mechanical Ventilation Care by Respiratory Therapist

    CPT-99505-HOME-VISIT-STOMA-CARE

    CPT 99505: Home Visit for Stoma Care

    CPT-99506-HOME-INTRAMUSCULAR-INJECTION-HOME-VISIT

    CPT 99506: Home Visit for Intramuscular Injection by Nurse

    CPT-99507-HOME-HEALTH-CATHETER-ASSESSMENT

    CPT 99507: Home Health Catheter Evaluation

    CPT-99509-HOME-HEALTH-ADL-SELF-CARE-VISIT

    CPT 99509: Home Health Visit for ADL and Self-Care Support

    CPT-99510-HOME-COUNSELING-PSYCHOLOGIST-SOCIAL-WORKER

    CPT 99510: Home Counseling by Psychologist or Social Worker

    CPT-99511-HOME-MANAGEMENT-AND-REMOVAL-OF-FECAL-IMPACTION

    CPT 99511: Home Visit for Fecal Impaction Management and Removal

    Showing 1–10 of 12

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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