Pub Date : 2022-11-01DOI: 10.1542/pcco_book223_document002
This article reviews changes to codes and guidelines for reporting outpatient consultation services, including the following: Distinguishing consultations from other evaluation and management (E/M) servicesCode selection based on medical decision-making (MDM) or the total time directed to the patient’s care on the date of the encounterCodes reported to payers that do not pay for services reported with codes for consultation services
{"title":"Preparing for 2023: Outpatient Consultations","authors":"","doi":"10.1542/pcco_book223_document002","DOIUrl":"https://doi.org/10.1542/pcco_book223_document002","url":null,"abstract":"This article reviews changes to codes and guidelines for reporting outpatient consultation services, including the following: Distinguishing consultations from other evaluation and management (E/M) servicesCode selection based on medical decision-making (MDM) or the total time directed to the patient’s care on the date of the encounterCodes reported to payers that do not pay for services reported with codes for consultation services","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"262 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120849249","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 : 2022-11-01DOI: 10.1542/pcco_book223_document006
With continuing emergent changes to the code sets, in addition to regularly scheduled updates, keeping up to date can be challenging. The American Academy of Pediatrics (AAP) and AAP Pediatric Coding Newsletter™ work to alert AAP members and subscribers to new and revised codes. The resources discussed in this article are regularly updated to provide current information on the release of new codes.
{"title":"AAP Resources for Emergent Code Changes","authors":"","doi":"10.1542/pcco_book223_document006","DOIUrl":"https://doi.org/10.1542/pcco_book223_document006","url":null,"abstract":"With continuing emergent changes to the code sets, in addition to regularly scheduled updates, keeping up to date can be challenging. The American Academy of Pediatrics (AAP) and AAP Pediatric Coding Newsletter™ work to alert AAP members and subscribers to new and revised codes. The resources discussed in this article are regularly updated to provide current information on the release of new codes.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130297971","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 : 2022-11-01DOI: 10.1542/pcco_book223_document001
This AAP Pediatric Coding Newsletter™ issue includes articles featuring some of the new and revised Current Procedural Terminology (CPT®) codes for 2023. Please note that codes and values are subject to change due to any late corrections or clarifications. All of the revisions to codes and guidelines for 2023 are applicable to services provided on and after January 1, 2023 (ie, changes are not applicable to services provided in 2022 even when reported in 2023).
{"title":"Code Changes and Proposed Values for 2023","authors":"","doi":"10.1542/pcco_book223_document001","DOIUrl":"https://doi.org/10.1542/pcco_book223_document001","url":null,"abstract":"This AAP Pediatric Coding Newsletter™ issue includes articles featuring some of the new and revised Current Procedural Terminology (CPT®) codes for 2023. Please note that codes and values are subject to change due to any late corrections or clarifications. All of the revisions to codes and guidelines for 2023 are applicable to services provided on and after January 1, 2023 (ie, changes are not applicable to services provided in 2022 even when reported in 2023).","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122929924","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 : 2022-11-01DOI: 10.1542/pcco_book223_document004
Current Procedural Terminology (CPT®) offers new and revised codes for certain cardiovascular services provided on and after January 1, 2023. This article reviews the following: New codes for percutaneous pulmonary artery revascularization (PPAR) by stent placementNew and revised codes for pulmonary angiography procedures performed in conjunction with primary transcatheter proceduresUse of modifier 63 (procedure performed on infants less than 4 kg) with cardiovascular procedures
{"title":"2023 Code Changes: Cardiovascular Procedures","authors":"","doi":"10.1542/pcco_book223_document004","DOIUrl":"https://doi.org/10.1542/pcco_book223_document004","url":null,"abstract":"Current Procedural Terminology (CPT®) offers new and revised codes for certain cardiovascular services provided on and after January 1, 2023. This article reviews the following: New codes for percutaneous pulmonary artery revascularization (PPAR) by stent placementNew and revised codes for pulmonary angiography procedures performed in conjunction with primary transcatheter proceduresUse of modifier 63 (procedure performed on infants less than 4 kg) with cardiovascular procedures","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131214668","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 : 2022-10-01DOI: 10.1542/pcco_book222_document002
This article reviews changes to the Current Procedural Terminology (CPT®) guidelines for initial and subsequent hospital inpatient and observation evaluation and management (E/M) services. Topics covered include the following: Codes reported for E/M services provided to patients in inpatient or observation status Distinguishing initial and subsequent encounters according to CPT guidelines Examples of coding for hospital E/M services, including when E/M services are provided in other settings prior to admission to inpatient or observation status on the same date
{"title":"Preparing for 2023: Guidelines for Hospital Inpatient and Observation Services","authors":"","doi":"10.1542/pcco_book222_document002","DOIUrl":"https://doi.org/10.1542/pcco_book222_document002","url":null,"abstract":"This article reviews changes to the Current Procedural Terminology (CPT®) guidelines for initial and subsequent hospital inpatient and observation evaluation and management (E/M) services. Topics covered include the following:\u0000 Codes reported for E/M services provided to patients in inpatient or observation status Distinguishing initial and subsequent encounters according to CPT guidelines Examples of coding for hospital E/M services, including when E/M services are provided in other settings prior to admission to inpatient or observation status on the same date","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129246831","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 : 2022-10-01DOI: 10.1542/pcco_book222_document005
“This article provides guidance for reporting codes 99234–99236 for services provided in 2023, including the following topics: Revised descriptors for codes 99234–99236Guidelines for reporting same-date admission and discharge services”
{"title":"Preparing for 2023: Same-Date Admission and Discharge Services (Online Exclusive)","authors":"","doi":"10.1542/pcco_book222_document005","DOIUrl":"https://doi.org/10.1542/pcco_book222_document005","url":null,"abstract":"“This article provides guidance for reporting codes 99234–99236 for services provided in 2023, including the following topics: Revised descriptors for codes 99234–99236Guidelines for reporting same-date admission and discharge services”","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121282427","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 : 2022-10-01DOI: 10.1542/pcco_book222_document001
It is time again to update your knowledge and use of diagnosis codes in conjunction with the October update of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). The updates to ICD-10-CM discussed in this article are effective for services on and after October 1, 2022. This article will provide A brief overview of how and when the ICD-10-CM code set is updated Highlights of revisions to the ICD-10-CM codes and the related official guidelines for coding and reporting diagnoses and other reasons for pediatric services
{"title":"Pediatric ICD-10-CM Updates","authors":"","doi":"10.1542/pcco_book222_document001","DOIUrl":"https://doi.org/10.1542/pcco_book222_document001","url":null,"abstract":"It is time again to update your knowledge and use of diagnosis codes in conjunction with the October update of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). The updates to ICD-10-CM discussed in this article are effective for services on and after October 1, 2022. This article will provide\u0000 A brief overview of how and when the ICD-10-CM code set is updated Highlights of revisions to the ICD-10-CM codes and the related official guidelines for coding and reporting diagnoses and other reasons for pediatric services","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126269540","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 : 2022-10-01DOI: 10.1542/pcco_book222_document004
This article provides a brief overview of the codes to report consultations provided to patients in hospital inpatient or observation status. The following additional topics are also discussed: Determining if a service may be reported as a consultation Guidelines for reporting consultation services provided to patients in hospital inpatient or observation stays
{"title":"Inpatient and Observation Consultation Guideline Changes","authors":"","doi":"10.1542/pcco_book222_document004","DOIUrl":"https://doi.org/10.1542/pcco_book222_document004","url":null,"abstract":"This article provides a brief overview of the codes to report consultations provided to patients in hospital inpatient or observation status. The following additional topics are also discussed:\u0000 Determining if a service may be reported as a consultation Guidelines for reporting consultation services provided to patients in hospital inpatient or observation stays","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125822484","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 : 2022-09-01DOI: 10.1542/pcco_book221_document002
This article guides readers through Selecting the correct vaccine product and administration codes Determining whether an evaluation and management (E/M) service should be separately reported
本文指导读者选择正确的疫苗产品和管理代码,确定是否应单独报告评估和管理(E/M)服务
{"title":"Gear Up for Fall: Coding for Immunization Against Respiratory Viral Illnesses","authors":"","doi":"10.1542/pcco_book221_document002","DOIUrl":"https://doi.org/10.1542/pcco_book221_document002","url":null,"abstract":"This article guides readers through\u0000 Selecting the correct vaccine product and administration codes Determining whether an evaluation and management (E/M) service should be separately reported","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123647693","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 : 2022-09-01DOI: 10.1542/pcco_book221_document004
All 4 of our free 2022 coding webinars are available for viewing at https://coding.aap.org/webinars. Each coding webinar has the prior approval of the American Academy of Professional Coders for 1.0 continuing education hours. Viewing the webinar as an archive only will require a posttest in which a 80% passing score is required to receive credit.
{"title":"Explore Our Coding Webinar Archive","authors":"","doi":"10.1542/pcco_book221_document004","DOIUrl":"https://doi.org/10.1542/pcco_book221_document004","url":null,"abstract":"All 4 of our free 2022 coding webinars are available for viewing at https://coding.aap.org/webinars. Each coding webinar has the prior approval of the American Academy of Professional Coders for 1.0 continuing education hours. Viewing the webinar as an archive only will require a posttest in which a 80% passing score is required to receive credit.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123986857","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}