Pediatric Coding Q A Expert Advice From The Aap Coding Hotline

This is a compilation of the AAP Coding Hotline questions and answers. It features guidance on everything from coding for specific clinical conditions to applying both common and evolving coding concepts to certain situations.

"Coding for Pediatrics" is a publication of the American Academy of Pediatrics (AAP) Committee on Coding and Nomenclature. Written by experienced coders, it is extensively reviewed by the Committee s Editorial Advisory Board, as well as by experts from other relevant committees and sections throughout the AAP. Coding for Pediatrics is part of a complete suite of coding products offered by the AAP. Currently in its 18th edition, the manual is published annually. Major updates include new pediatric" CPT" and "ICD "codes, geographic practice cost indices (GPCIs), and resource-based relative value scale (RBRVS). The manual also includes an extensive number of coding vignettes and examples, which are updated from year to year. Coding for Pediatrics 2013 contents include New and Revised CPT(r) and ICD-9-CM Codes for 2013 Evaluation and Management Documentation and Coding Guidelines Coding for Evaluation and Management Services in the Office, Outpatient, Home, or Nursing Facility Setting Prenatal Counseling and Care of the Neonate and Critically Ill Infant/Child Emergency Department Services Common Procedures and Non-E/M Medical Services Modifiers and Coding Edits Diagnosis Coding Resource-Based Relative Value Scale Category II CPT Codes Pay for Performance Measures and Category III CPT Codes Emerging Technologies Fraud and Abuse: Compliance for the Pediatric Practice The Business of Medicine: From Clean Claims to Correct Payment and Emerging Payment Methodologies Updated cover-to-cover for 2013 including "CPT" and "ICD-9-CM" codes and revisions plus guidelines for applying them ICD-10-CM information detailed guidelines, crosswalking of ICD-9-CM and ICD-10-CM codes with coding scenarios Newborn Coding Decision Tool This tool helps to simplify coding for newborn care when a normal newborn becomes sick or requires intensive or critical care. The algorithm takes the complexities of these coding situations and condenses them into an easy to use resource. It will also incorporate the final changes made to the newborn guidelines and is included in a handy 12" x 17" format, laminated for extra durability. Coding Pearls clarifications, explanations, practical dos and don ts Coding examples, scenarios, and vignettes illustrate correct coding strategies User-friendly format streamlines information searching Convenient continuing education--This publication has prior approval of the American Academy of Professional Coders (AAPC) for 4.0 continuing education units (CEUs). Granting of this approval in no way constitutes endorsement by the AAPC of the publication, content, or publication sponsor.Plus Continually refreshed Web access to AAP updates and practice management aids including many of the appendices."

Coding for Pediatrics 2012 Here's the pediatric-specific help you need for compliant coding and prompt payment! Code it right the first time--and minimize claim denials and payment delays--with today's most trusted pediatric coding and documentation guide. For beginners and advanced coders alike, this is the first place to look for pediatric-specific coding solutions...new and updated pediatric codes--with expert guidelines for their proper use...unique insights into the complex "gray areas" of pediatric coding...profitability-boosting tips...and much more. The basics and beyond -- straight from AAP pediatric coding professionals Coding for Pediatrics 2012 contents include: * New CPT and ICD-9-CM Codes for 2012 * Coding for Evaluation and Management Documentation and Coding Guidelines * Evaluation and Management Services in the Office, Outpatient, Home or Nursing Facility Setting * Noncritical Hospital Care * Perinatal Counseling and Care of the Neonate and Critically Ill Infant/Child * Emergency Department Services * Common Procedures and Non-E/M Medical Services * Modifiers and Coding Edits * Diagnosis Coding * Resource-Based Relative Value Scale * Category II CPT® Codes--Pay for Performance Measures and Category III CPT® Codes--Emerging Technologies * Fraud and Abuse Compliance for the Pediatric Practice * The Business of Medicine: From Clean Claims to Correct Payment and Emerging Payment Methodolgies New 2012 features, additions & updates * Updated CPT and ICD-9-CM codes and revisions -- plus application guidelines * All-new chapter on "The Business of Medicine"--including accountable care organizations * Expanded information on introduction and format of ICD-10-CM codes * New quick-reference fact sheet on immunization administration codes * New pediatric-specific clinical vignettes and examples * Continually refreshed Web access to all vignettes, corrections, and updates * How-to "Coding Pearls" * Web access to ready-to-use practice management problem-solvers: claim processing tools...claim correction form... claim denial appeal how-to's...sample appeal letter...denial tracking tool...and more

Pediatric Office-Based Evaluation and Management Coding: 2021 Revision provides expert guidance on the revised 2021 Current Procedural Technology (CPT ®) office and other outpatient evaluation and management (E/M) codes. This all-in-one reference contains curated content from Coding for Pediatrics 2021 and the AAP Pediatric Coding Newsletter.

Includes common pediatric CPT[copyright] codes for quick and easy look-up.

Coding for Pediatrics is the first place to look for the know-how needed to bill accurately, minimise payment problems, and maximise practice profitability. A widely used AAP exclusive, Coding for Pediatrics complements standard coding manuals with proven paediatric-specific documentation and billing solutions for practitioners, administrative staff, and coding specialists. This year's totally updated edition includes all changes in Current Procedural Terminology (CPT�) codes for 2017 - complete with expert guidelines for their application. The book's multiple clinical vignettes and examples, as well as the many coding pearls included throughout, have been fully revised. Also included in this edition is expert guidance on ICD-10-CM documentation elements to support accurate code selection and helpful tips for using the ICD-10-CM code set. In addition to the revised CPT codes, new and updated items in this edition include expanded coding resources - including articles for the AAP Pediatric Coding Newsletter, coding fact sheets, sample appeal letter, denial tracking tool, all clinical vignettes presented with corresponding ICD-10-CM codes, some included with valuable quality measure, and online access to many additional practice resources. Table of Contents: * New and Revised CPT� Codes for 2017. * Diagnosis Coding: ICD-10-CM. * Modifiers and Coding Edits. * Evaluation and Management: Documentation and Coding Guidelines, Telehealth, and PATH Guidelines. * Preventive Services. * Evaluation and Management Services in the Office, Outpatient, Home, or Nursing Facility Setting. * Managing Chronic and Complex Conditions. * Pre-birth Counseling and Care of the Newborn. * Noncritical Hospital Evaluation and Management Services. * Emergency Department Services. * Critical and Intensive Care. * Allied Health and Clinical Staff Services. * Common Procedures and Non-Evaluation and Management Medical Services. * Coding to Demonstrate Quality and Value. * Preventing Fraud and Abuse: Compliance, Audits, and Paybacks. * The Business of Medicine: Working With Current and Emerging Payment Systems. * Continuing Education Units (CEUs) for American Academy of Professional Coders.

Coding for Pediatrics is the first place to look for the know-how you need to bill accurately, minimize payment problems, and maximize practice profitability. A widely used AAP exclusive, it complements standard coding manuals with proven pediatric-specific documentation and billing solutions for practitioners, administrative staff, and coding specialists. This year's totally updated edition includes all changes in Current Procedural Terminology (CPT�) codes for 2016- complete with expert guidelines for their application. The book's multiple clinical vignettes and examples, as well as the many coding pearls included throughout, have been fully revised. You will find expert guidance on ICD-10-CM transition- including important documentation elements to support accurate code selection and helpful tips for using the ICD-10-CM code set In addition to the revised CPT codes, new and updated items in this edition include Revised chapter on enhanced quality and pay for performance Expanded coding resources- including articles for the AAP Pediatric Coding Newsletter, coding fact sheets, sample appeal letter, denial tracking tool, and more All clinical vignettes presented with corresponding ICD-10-CM codes, some included with valuable quality measure Online access to many additional practice resources And more

This new resource is filled with expert guidance to help you prepare for the changes coming to Current Procedural Terminology(CPT(R)) facility-based evaluation and management coding in 2023.An online quiz for a certificate of completion will also be included.