Coding for Pediatrics 2024 6/e

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.

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)