Newborn Physical Exam Finding: Caput

Hello-

Does your facility code caput and/or query? Can you share any internal guidelines you or template you have?

Does your facility have guidelines/resources to help educate providers on documenting if caput is clinically significant or not?

Thank you,

Sona Buchanan Director Revenue Cycle- System Clinical Documentation Integrity & IRF-PAI

buchanso@slhs.org

St. Luke’s Health System

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