Pub Date : 2024-01-01DOI: 10.1542/pcco_book237_document002
This article reviews some of the regulations that practices should consider in developing policies and procedures for delivery, documentation, and reporting of telephone or other audio-only evaluation and management (E/M) services. Topics to consider include the following: Considerations for policy and procedures Securing the privacy of patient health information Preservice preparations for delivery and documentation of telephone services
{"title":"Beyond Coding: Regulations and Policies for Telephone/Audio-only Services","authors":"","doi":"10.1542/pcco_book237_document002","DOIUrl":"https://doi.org/10.1542/pcco_book237_document002","url":null,"abstract":"This article reviews some of the regulations that practices should consider in developing policies and procedures for delivery, documentation, and reporting of telephone or other audio-only evaluation and management (E/M) services. Topics to consider include the following: Considerations for policy and procedures Securing the privacy of patient health information Preservice preparations for delivery and documentation of telephone services","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"28 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139126517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1542/pcco_book237_document001
This article reviews reporting of telephone evaluation and management (E/M) services provided on and after January 1, 2024, including the following: Telephone E/M codes Brief communication technology-based service codes Modifiers and place of service (POS) codes Anticipation of coding simplification
{"title":"Ringing in the New Year: Telephone Evaluation and Management Services in 2024","authors":"","doi":"10.1542/pcco_book237_document001","DOIUrl":"https://doi.org/10.1542/pcco_book237_document001","url":null,"abstract":"This article reviews reporting of telephone evaluation and management (E/M) services provided on and after January 1, 2024, including the following: Telephone E/M codes Brief communication technology-based service codes Modifiers and place of service (POS) codes Anticipation of coding simplification","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"25 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139126055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1542/pcco_book237_document003
Care of the newborn during the birth admission may be reported with a range of procedure codes. This article reviews the following: Care of the normal newborn Care of the sick newborn Consultations This article also includes examples of reporting care of the normal newborn and care of the ill newborn who does not require intensive or critical care services.
{"title":"Coding Review: Care of the Newborn During the Birth Admission","authors":"","doi":"10.1542/pcco_book237_document003","DOIUrl":"https://doi.org/10.1542/pcco_book237_document003","url":null,"abstract":"Care of the newborn during the birth admission may be reported with a range of procedure codes. This article reviews the following: Care of the normal newborn Care of the sick newborn Consultations This article also includes examples of reporting care of the normal newborn and care of the ill newborn who does not require intensive or critical care services.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"8 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139126006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1542/pcco_book236_document001
Telemedicine services are now often subject to payment policies and regulations that were not in effect or not enforced during the COVID-19 public health emergency. This article reviews the general policies that are typically applicable to provision and reporting of telemedicine services based on federal privacy regulations, Current Procedural Terminology (CPT®) guidance, and common payer policies. Topics include the following: Defining telemedicine Planning for telemedicine services Codes and modifiers for telemedicine services Place of service (POS) for telemedicine services Documentation of telemedicine services Payment and payer policies
{"title":"Connecting Coding and Policy: Telemedicine","authors":"","doi":"10.1542/pcco_book236_document001","DOIUrl":"https://doi.org/10.1542/pcco_book236_document001","url":null,"abstract":"Telemedicine services are now often subject to payment policies and regulations that were not in effect or not enforced during the COVID-19 public health emergency. This article reviews the general policies that are typically applicable to provision and reporting of telemedicine services based on federal privacy regulations, Current Procedural Terminology (CPT®) guidance, and common payer policies. Topics include the following:\u0000 Defining telemedicine Planning for telemedicine services Codes and modifiers for telemedicine services Place of service (POS) for telemedicine services Documentation of telemedicine services Payment and payer policies","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":" 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138613523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1542/pcco_book236_document003
New immunization product and administration codes are added to Current Procedural Terminology (CPT®) on a twice-annual routine schedule (January 1 and July 1). Some immunization product and administration codes are approved for an expedited or emergent release that is published electronically by the American Medical Association (AMA) at www.ama-assn.org/practice-management/cpt/category-i-immunization-codes. Changes that will be included in CPT 2024 include the following: Instructions for reporting codes for immunization by immune globulin New codes for immunization against respiratory syncytial virus (RSV) using an immune globulin product Other new vaccine codes approved after publication of CPT 2023
{"title":"2024 Immunization Coding Updates","authors":"","doi":"10.1542/pcco_book236_document003","DOIUrl":"https://doi.org/10.1542/pcco_book236_document003","url":null,"abstract":"New immunization product and administration codes are added to Current Procedural Terminology (CPT®) on a twice-annual routine schedule (January 1 and July 1). Some immunization product and administration codes are approved for an expedited or emergent release that is published electronically by the American Medical Association (AMA) at www.ama-assn.org/practice-management/cpt/category-i-immunization-codes. Changes that will be included in CPT 2024 include the following:\u0000 Instructions for reporting codes for immunization by immune globulin New codes for immunization against respiratory syncytial virus (RSV) using an immune globulin product Other new vaccine codes approved after publication of CPT 2023","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":" 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138617803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1542/pcco_book236_document002
An equity initiative of the Current Procedural Terminology® Editorial Panel includes recognition that female pelvic examinations have a greater practice expense (eg, the cost of providing speculums and chaperones) than evaluation and management (E/M) services that do not include a female pelvic examination. To provide a means of reporting the increased practice expense, new add-on code 99459 (pelvic examination) may be reported for services provided on and after January 1, 2024. This article reviews the appropriate use of code 99459. Reporting in conjunction with a preventive medicine E/M service Reporting in conjunction with a problem-oriented E/M service Utilization instructions Assigned relative value units (RVUs) for 99459
{"title":"2024 Current Procedural Terminology Updates: Female Pelvic Examination","authors":"","doi":"10.1542/pcco_book236_document002","DOIUrl":"https://doi.org/10.1542/pcco_book236_document002","url":null,"abstract":"An equity initiative of the Current Procedural Terminology® Editorial Panel includes recognition that female pelvic examinations have a greater practice expense (eg, the cost of providing speculums and chaperones) than evaluation and management (E/M) services that do not include a female pelvic examination. To provide a means of reporting the increased practice expense, new add-on code 99459 (pelvic examination) may be reported for services provided on and after January 1, 2024. This article reviews the appropriate use of code 99459.\u0000 Reporting in conjunction with a preventive medicine E/M service Reporting in conjunction with a problem-oriented E/M service Utilization instructions Assigned relative value units (RVUs) for 99459","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138612532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1542/pcco_book236_document004
Current Procedural Terminology (CPT®) includes multiple sections and categories of codes to report services. However, when a service is provided in a manner that is not accurately described by a specific code, unlisted procedure codes are reported. CPT 2024 brings new guidelines for appropriate use of unlisted procedure codes. This article reviews the guidelines for reporting unlisted procedure codes, including the following topics: Identifying and locating unlisted procedure codes Reporting unlisted procedure codes in conjunction with Category I and/or Category III codes Reporting multiple unlisted codes Using modifiers with unlisted procedure codes
{"title":"CPT 2024: Reporting Unlisted Procedure Codes","authors":"","doi":"10.1542/pcco_book236_document004","DOIUrl":"https://doi.org/10.1542/pcco_book236_document004","url":null,"abstract":"Current Procedural Terminology (CPT®) includes multiple sections and categories of codes to report services. However, when a service is provided in a manner that is not accurately described by a specific code, unlisted procedure codes are reported. CPT 2024 brings new guidelines for appropriate use of unlisted procedure codes. This article reviews the guidelines for reporting unlisted procedure codes, including the following topics:\u0000 Identifying and locating unlisted procedure codes Reporting unlisted procedure codes in conjunction with Category I and/or Category III codes Reporting multiple unlisted codes Using modifiers with unlisted procedure codes","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138608034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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