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Coding for Pediatrics 2019


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Table of Contents

  • Foreword

  • Acknowledgments
  • Chapter 1 - New and Revised CPT (R) Codes for 2019
  • Chapter 2 - Diagnosis Coding: ICD-10-CM
  • Chapter 3 - Modifiers and Coding Edits
  • Chapter 4 - Evaluation and Management Documentation Guidelines
  • Chapter 5 - Time-Based Coding
  • Chapter 6 - Preventive Services
  • Chapter 7 - Evaluation and Management Services in the Office, Outpatient, Home, or Nursing Facility Setting
  • Chapter 8 - Managing Chronic and Complex Conditions
  • Chapter 9 - Pre-birth Counseling and Care of the Newborn
  • Chapter 10 - Noncritical Hospital Evaluation and Management Services
  • Chapter 11 - Mental Health Services
  • Chapter 12 - Emergency Department Services
  • Chapter 13 - Critical and Intensive Care
  • Chapter 14 - Telemedicine
  • Chapter 15 - Allied Health and Clinical Staff Services
  • Chapter 16 - Common Surgical Procedures and Sedation
  • Chapter 17 - Common Testing and Therapeutic Services
  • Chapter 18 - Coding to Demonstrate Quality and Value
  • Chapter 19 - Preventing Fraud and Abuse: Compliance, Audits, and Paybacks
  • Chapter 20 - The Business of Medicine: Working With Current and Emerging Payment Systems
  • Chapter 21 - Continuing Education Units (CEUs) for American Academy of Professional Coders
  • Appendixes
  • I. Sample Assessment/Testing Tools
  • II. Vaccine Products: Commonly Administered Pediatric Vaccines
  • III. Chronic Care Management Worksheet
  • IV. Care Plan Oversight Encounter Worksheet
  • V. Global Per Diem Critical Care Codes: Direct Supervision and Reporting Guidelines
  • VI. Effective Health Plan Appeals: The Ins and Outs
  • VII. Sample Denial Tracking Tool
  • Indexes
  • Subject Index
  • Code Index AAP/Bright Futures ""Recommendations for Preventive Pediatric Health Care"" (Periodicity Schedule)

About the Author

The AAP Committee on Coding and Nomenclature (COCN) is responsible for reviewing of all proposed changes to CPT and ICD-9-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' (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.

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