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[Billing Codes: 4120-01-P; 4830-01-P; 4510-29-P] - page 75 / 83

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(a)(1) of this section is made by an attending provider, in consultation with the mother, the requirements of paragraph (a)(1) of this section do not apply for any period after the

discharge. (ii) Discharge of newborn.

If a decision to discharge a

newborn child earlier than the period specified in paragraph (a)(1) of this section is made by an attending provider, in consultation with the mother (or the newborn’s authorized representative), the requirements of paragraph (a)(1) of this section do not apply for any period after the discharge.

(iii)

Attending provider defined.

For purposes of this

section,

attending

provider

means

an

individual

who

is

licensed

under applicable State law to provide maternity or pediatric and who is directly responsible for providing maternity or pediatric care to a mother or newborn child.

care

(iv) Example. illustrated by the

The rules of this following example:

paragraph

(a)(5)

are

Example.

(i) A

pregnant woman

covered under a

policy

offered by an

issuer

subject to the

requirements of

this section

goes into labor and is admitted to

a hospital.

She gives birth

by

cesarean

section.

On

the

third

day

after

the

delivery,

the

attending provider for the attending provider

the for

mother consults with the newborn consults

the mother, and with the mother

regarding the newborn. early discharge of both

The the

attending providers authorize

mother

and

the

newborn.

Both

discharged approximately 72 hours after pays for the 72-hour hospital stays.

the

delivery.

The

the are issuer

(ii)

In this Example, the requirements of this paragraph

(a) have been satisfied with respect to the mother and the

newborn.

If either is readmitted,

readmission

is

not

subject

to

this

the hospital section.

stay

for

the

(b) Prohibitions

(1) With respect to mothers

(i)

In

75

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