Pub Date : 2023-09-01DOI: 10.1542/pcco_book233_document004
This coding challenge includes assigned codes for care in the emergency department (ED) and to a patient during an inpatient admission. Following are the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) and Current Procedural Terminology (CPT®) codes for the conditions addressed and evaluation and management (E/M) services provided by the ED physician and hospitalists on each date of service.
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Pub Date : 2023-09-01DOI: 10.1542/pcco_book233_document002
This coding scenario examines the case of a 16-year-old girl who presents to the emergency department (ED). Can you determine the appropriate diagnosis and procedure codes for the following scenario?
这个编码场景检查了一个到急诊科(ED)就诊的16岁女孩。您能否为以下场景确定适当的诊断和程序代码?
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Pub Date : 2023-09-01DOI: 10.1542/pcco_book233_document001
There are distinct diagnosis and procedure codes for the counseling and/or contraceptive management services personally provided by physicians and other qualified health care professionals (QHPs). This article reviews reporting options for the following services: Contraception counseling as part of a comprehensive preventive medicine service Contraception counseling on a separate date from a comprehensive preventive medicine service Initiation of contraception Surveillance of contraception Diagnosis codes for contraception services and procedure codes for some related services are also reviewed.
{"title":"Connecting Coding to Clinical Policy: Contraception","authors":"","doi":"10.1542/pcco_book233_document001","DOIUrl":"https://doi.org/10.1542/pcco_book233_document001","url":null,"abstract":"There are distinct diagnosis and procedure codes for the counseling and/or contraceptive management services personally provided by physicians and other qualified health care professionals (QHPs). This article reviews reporting options for the following services:\u0000 Contraception counseling as part of a comprehensive preventive medicine service Contraception counseling on a separate date from a comprehensive preventive medicine service Initiation of contraception Surveillance of contraception\u0000 Diagnosis codes for contraception services and procedure codes for some related services are also reviewed.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"435 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116008145","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 : 2023-08-01DOI: 10.1542/pcco_book232_document004
Did you correctly answer this month’s You Code It! scenario?
你是否正确回答了这个月的you Code It!场景吗?
{"title":"You Code It! Answers: General Behavioral Health Integration Care Management","authors":"","doi":"10.1542/pcco_book232_document004","DOIUrl":"https://doi.org/10.1542/pcco_book232_document004","url":null,"abstract":"Did you correctly answer this month’s You Code It! scenario?","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116914235","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 : 2023-08-01DOI: 10.1542/pcco_book232_document006
The costs of providing immunization services in a pediatric practice are not insignificant. It is important to use business and coding practices that protect a practice’s investment in these services. This article reviews American Academy of Pediatrics (AAP) online resources to assist members with financing and payment to support in-office immunization services. Among those resources are AAP vaccine financing and payment support resources AAP Vaccine Coding Table Assistance with vaccine payment issues
{"title":"Online Resources: Coding for Vaccine and Immunization Administration Services","authors":"","doi":"10.1542/pcco_book232_document006","DOIUrl":"https://doi.org/10.1542/pcco_book232_document006","url":null,"abstract":"The costs of providing immunization services in a pediatric practice are not insignificant. It is important to use business and coding practices that protect a practice’s investment in these services. This article reviews American Academy of Pediatrics (AAP) online resources to assist members with financing and payment to support in-office immunization services. Among those resources are\u0000 AAP vaccine financing and payment support resources AAP Vaccine Coding Table Assistance with vaccine payment issues","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125566957","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 : 2023-08-01DOI: 10.1542/pcco_book232_document001
This article addresses general behavioral health integration (GBHI), an approach to incorporating behavioral/psychiatric health care into a medical practice while working in a fee-for-service environment. The following are examined: What GBHI is and how it compares to other care management servicesIndications for and use of GBHI codesDocumentation of GBHI
{"title":"Connecting Coding and Policy: Managing Behavioral Health Problems With General Behavioral Health Integration","authors":"","doi":"10.1542/pcco_book232_document001","DOIUrl":"https://doi.org/10.1542/pcco_book232_document001","url":null,"abstract":"This article addresses general behavioral health integration (GBHI), an approach to incorporating behavioral/psychiatric health care into a medical practice while working in a fee-for-service environment. The following are examined: What GBHI is and how it compares to other care management servicesIndications for and use of GBHI codesDocumentation of GBHI","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123598784","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 : 2023-08-01DOI: 10.1542/pcco_book232_document003
Current Procedural Terminology (CPT®) includes a variety of codes for reporting the performance and/or interpretation and report of echocardiography, including codes for different echocardiography procedures and add-on codes for imaging techniques that are separately reported, when performed. This article provides answers to common questions about code selection for these services. Topics include the following: Professional and technical components of echocardiography Echocardiography and critical care services on the same date Echocardiography for congenital anomaly of the heart Complete versus limited echocardiography Stress echocardiography Documentation
{"title":"Q&A: Coding for Pediatric Echocardiography","authors":"","doi":"10.1542/pcco_book232_document003","DOIUrl":"https://doi.org/10.1542/pcco_book232_document003","url":null,"abstract":"Current Procedural Terminology (CPT®) includes a variety of codes for reporting the performance and/or interpretation and report of echocardiography, including codes for different echocardiography procedures and add-on codes for imaging techniques that are separately reported, when performed. This article provides answers to common questions about code selection for these services. Topics include the following:\u0000 Professional and technical components of echocardiography Echocardiography and critical care services on the same date Echocardiography for congenital anomaly of the heart Complete versus limited echocardiography Stress echocardiography Documentation","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124056753","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 : 2023-08-01DOI: 10.1542/pcco_book232_document002
This You Code It! scenario includes provision of general behavioral health integration (GBHI) care management. Can you assign the appropriate procedure and diagnosis codes?
这是你的代码!方案包括提供一般行为健康整合(GBHI)护理管理。你能分配适当的程序和诊断代码吗?
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Pub Date : 2023-07-01DOI: 10.1542/pcco_book231_document003
This article reviews appropriate use of modifiers with procedure codes to accurately tell the story of the patient encounter or procedural service(s). The topics include the following: General information on modifiers and appropriate use Modifiers and evaluation and management (E/M) services Commonly reported non-E/M modifiers
{"title":"What Stories Do the Modifiers on Your Claims Tell?","authors":"","doi":"10.1542/pcco_book231_document003","DOIUrl":"https://doi.org/10.1542/pcco_book231_document003","url":null,"abstract":"This article reviews appropriate use of modifiers with procedure codes to accurately tell the story of the patient encounter or procedural service(s). The topics include the following:\u0000 General information on modifiers and appropriate use Modifiers and evaluation and management (E/M) services Commonly reported non-E/M modifiers","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129638121","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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