This year’s completely updated 29th edition of Coding for Pediatrics includes all changes in Current Procedural Terminology (CPT®) codes—complete with expert guidance for their application. Also included are the new office and outpatient evaluation and management coding changes. The book’s recently updated vignettes and examples, as well as the many coding pearls throughout, provide added guidance needed to ensure accuracy and payment.
What's new for 2024:
• New roadmap to identify chapter applicability by specialty, role, and setting
• Added discussion of evaluation and management guidelines for code selection including correct reporting of split or shared visits
• New Healthcare Common Procedure Coding System (HCPCS) codes for behavioral health integration services
• New codes for intraoperative echocardiography and venography for congenital heart defects
• New codes for vertebral tethering procedures
The 29th edition of this best-selling AAP coding publication has been completed updated to include all the 2024 changes and additions of CPT codes, complete with expert guidance for their application. And much more!
Foreword
Acknowledgments
How to Use This Manual
PART
1. CODING BASICS AND BUSINESS ESSENTIALS
Chapter
1. The Basics of Coding
Chapter
2. Coding Edits and Modifiers
Chapter
3. Coding to Demonstrate Quality and Value
Chapter
4. The Business of Medicine: Working With Current and Emerging
Payment Systems
Chapter
5. Preventing Fraud and Abuse: Compliance, Audits, and Paybacks
Chapter
6. Evaluation and Management Documentation Guidelines
PART
2. PRIMARILY FOR THE OFFICE AND OTHER OUTPATIENT SETTINGS
Chapter
7. Non-preventive Outpatient Evaluation and Management Services in
Outpatient Settings
Chapter
8. Preventive Services
Chapter
9. Telephone and Online Digital Evaluation and Management Services
Chapter
10. Indirect Management of Chronic and Complex Conditions
Chapter
11. Mental and Behavioral Health Services
Chapter
12. Common Testing and Therapeutic Services
Chapter
13. Qualified Nonphysician Health Care Professional Services
Chapter
14. Surgery, Infusion, and Sedation in the Outpatient Setting
PART
3. PRIMARILY FOR HOSPITAL SETTINGS
Chapter
15. Emergency Department Services
Chapter
16. Hospital Care of the Newborn
Chapter
17. Noncritical Hospital Evaluation and Management Services
Chapter
18. Critical and Intensive Care
Chapter
19. Common Surgical Procedures and Sedation in Facility Settings
PART
4. DIGITAL MEDICINE SERVICES
Chapter
20. Telemedicine Services
Chapter
21. Remote Data Collection and Monitoring Services
APPENDIXES
I. Quick Reference to 2023 ICD-10-CM Pediatric Code Changes
II. Vaccine Products: Commonly Administered Pediatric Vaccines
III. Test Your Knowledge! Answer Key
INDEXES
Subject Index
Code Index
AAP/Bright Futures Recommendations for Preventive Pediatric Health Care
(Periodicity Schedule)
The AAP Committee on Coding and Nomenclature (COCN) is responsible for reviewing all proposed changes to CPT and ICD-10-CM coding structures to determine whether the Academy will endorse the proposal; participates in the American Medical Association/Specialty Society Relative Value Scale Update Committee's (RUC) survey process by validating clinical vignettes, evaluating survey data, and deciding on physician work and practice expense relative value units (RVUs) to recommend to the RUC; and serves as a review panel regarding other activities such as identifying Academy positions on the RBRVS. The COCN also monitors the Medicare RBRVS physician fee schedule and its adoption by private and public payers.
To update pediatricians on its activities, including the formal publication of new and revised CPT and ICD-10-CM coding structures and final values for CPT codes used by pediatricians, pediatric medical subspecialists, and pediatric surgical specialists, the COCN publishes periodic articles in AAP News along with a monthly coding column called Coding Corner.
