Pub Date : 2024-02-01DOI: 10.1542/pcco_book238_document003
When reporting a laboratory test that has waived status under the Clinical Laboratory Improvement Amendments (CLIA) (ie, is CLIA waived), it is appropriate to append modifier QW (CLIA-waived test) to the procedure code for the test.
{"title":"Did You Know? The CLIA-Waived Test Modifier","authors":"","doi":"10.1542/pcco_book238_document003","DOIUrl":"https://doi.org/10.1542/pcco_book238_document003","url":null,"abstract":"When reporting a laboratory test that has waived status under the Clinical Laboratory Improvement Amendments (CLIA) (ie, is CLIA waived), it is appropriate to append modifier QW (CLIA-waived test) to the procedure code for the test.","PeriodicalId":490755,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"17 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139891732","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 : 2023-11-01DOI: 10.1542/pcco_book235_document001
With 2024 quickly approaching, now is the time for practices to prepare to adopt procedure code changes that will be implemented on the first day of the new year. The 2024 changes to Current Procedural Terminology (CPT®) most applicable to services provided to children are discussed in this and upcoming issues of AAP Pediatric Coding Newsletter™. In this issue, articles include discussion of the following topics related to CPT coding changes that go into effect on January 1, 2024: Changes to time descriptors for office and other outpatient services Revisions to guidelines for split or shared visits New guidelines for brief hospital inpatient or observation stays New codes for cardiac imaging procedures (intraoperative echocardiography and venography)
{"title":"<i>CPT</i> 2024: Start Preparing for Accurate Reporting","authors":"","doi":"10.1542/pcco_book235_document001","DOIUrl":"https://doi.org/10.1542/pcco_book235_document001","url":null,"abstract":"With 2024 quickly approaching, now is the time for practices to prepare to adopt procedure code changes that will be implemented on the first day of the new year. The 2024 changes to Current Procedural Terminology (CPT®) most applicable to services provided to children are discussed in this and upcoming issues of AAP Pediatric Coding Newsletter™. In this issue, articles include discussion of the following topics related to CPT coding changes that go into effect on January 1, 2024: Changes to time descriptors for office and other outpatient services Revisions to guidelines for split or shared visits New guidelines for brief hospital inpatient or observation stays New codes for cardiac imaging procedures (intraoperative echocardiography and venography)","PeriodicalId":490755,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"44 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135166380","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 : 2023-11-01DOI: 10.1542/pcco_book235_document003
Current Procedural Terminology (CPT®) 2024 brings new guidelines for split or shared visits, including the combined work of a team of physicians and other qualified health care professionals (QHPs) providing portions of a single evaluation and management (E/M) service. This article addresses the following: Defining split or shared visits Split or shared visits versus incident-to services Determining who reports a split or shared visit
{"title":"<i>CPT</i> 2024: Revisions to Guidelines for Split or Shared Visits","authors":"","doi":"10.1542/pcco_book235_document003","DOIUrl":"https://doi.org/10.1542/pcco_book235_document003","url":null,"abstract":"Current Procedural Terminology (CPT®) 2024 brings new guidelines for split or shared visits, including the combined work of a team of physicians and other qualified health care professionals (QHPs) providing portions of a single evaluation and management (E/M) service. This article addresses the following: Defining split or shared visits Split or shared visits versus incident-to services Determining who reports a split or shared visit","PeriodicalId":490755,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"39 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135163205","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 : 2023-11-01DOI: 10.1542/pcco_book235_document005
New codes will be implemented for services performed on and after January 1, 2024, for imaging performed to evaluate congenital cardiac abnormalities. Changes to codes for cardiac imaging in Current Procedural Terminology (CPT®) in 2024 include the following: Diagnostic intraoperative epicardial cardiac ultrasound (eg, echocardiography) for congenital heart disease Venography for congenital heart defect(s) This article provides an overview of the new codes and reporting instructions. Please see your CPT 2024 reference for more information.
{"title":"<i>CPT</i> 2024: Coding Changes for Cardiac Imaging Services","authors":"","doi":"10.1542/pcco_book235_document005","DOIUrl":"https://doi.org/10.1542/pcco_book235_document005","url":null,"abstract":"New codes will be implemented for services performed on and after January 1, 2024, for imaging performed to evaluate congenital cardiac abnormalities. Changes to codes for cardiac imaging in Current Procedural Terminology (CPT®) in 2024 include the following: Diagnostic intraoperative epicardial cardiac ultrasound (eg, echocardiography) for congenital heart disease Venography for congenital heart defect(s) This article provides an overview of the new codes and reporting instructions. Please see your CPT 2024 reference for more information.","PeriodicalId":490755,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"17 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135162322","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 : 2023-11-01DOI: 10.1542/pcco_book235_document006
There are many reasons to consider how and when to screen for and report social determinants of health (SDOH). This article reviews some important considerations for documentation and reporting of SDOH. Definition and 5 domains of SDOH Screening and documentation of SDOH Guidelines for assigning codes for SDOH SDOH and medical decision-making (MDM)
{"title":"Coding Review: Social Determinants of Health","authors":"","doi":"10.1542/pcco_book235_document006","DOIUrl":"https://doi.org/10.1542/pcco_book235_document006","url":null,"abstract":"There are many reasons to consider how and when to screen for and report social determinants of health (SDOH). This article reviews some important considerations for documentation and reporting of SDOH. Definition and 5 domains of SDOH Screening and documentation of SDOH Guidelines for assigning codes for SDOH SDOH and medical decision-making (MDM)","PeriodicalId":490755,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"24 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135166257","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 : 2023-11-01DOI: 10.1542/pcco_book235_document004
Guidelines for reporting hospital inpatient and observation stays are changed to align with Medicare policy that differentiates code selection based on the length (number of hours) of the patient’s stay for services provided on or after January 1, 2024. The times of admission and discharge guide code selection. This article reviews the revised Current Procedural Terminology (CPT®) guidelines, including the following: Continuous hospital visit spanning calendar dates Same-date admission and discharge services Stays of less than 8 hours’ duration spanning 2 dates Examples of code selection for brief hospital stays
{"title":"<i>CPT</i> 2024: New Guidelines for Brief Hospital Stays","authors":"","doi":"10.1542/pcco_book235_document004","DOIUrl":"https://doi.org/10.1542/pcco_book235_document004","url":null,"abstract":"Guidelines for reporting hospital inpatient and observation stays are changed to align with Medicare policy that differentiates code selection based on the length (number of hours) of the patient’s stay for services provided on or after January 1, 2024. The times of admission and discharge guide code selection. This article reviews the revised Current Procedural Terminology (CPT®) guidelines, including the following: Continuous hospital visit spanning calendar dates Same-date admission and discharge services Stays of less than 8 hours’ duration spanning 2 dates Examples of code selection for brief hospital stays","PeriodicalId":490755,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135166262","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 : 2023-11-01DOI: 10.1542/pcco_book235_document002
The code descriptors for office and other outpatient evaluation and management (E/M) services reported with codes 99202–99205 and 99212–99215 have been revised to include a threshold time that must be met to report each code. This change applies to services provided on and after January 1, 2024. This article reviews the following changes and related reporting instructions: Changes to the descriptors for total time requirements in codes 99202–99205 and 99212–99215 Exclusion of the Current Procedural Terminology (CPT®) midpoint rule Time thresholds and prolonged E/M services
{"title":"<i>CPT</i> 2024: Changes to Time Descriptors for Office and Other Outpatient Services","authors":"","doi":"10.1542/pcco_book235_document002","DOIUrl":"https://doi.org/10.1542/pcco_book235_document002","url":null,"abstract":"The code descriptors for office and other outpatient evaluation and management (E/M) services reported with codes 99202–99205 and 99212–99215 have been revised to include a threshold time that must be met to report each code. This change applies to services provided on and after January 1, 2024. This article reviews the following changes and related reporting instructions: Changes to the descriptors for total time requirements in codes 99202–99205 and 99212–99215 Exclusion of the Current Procedural Terminology (CPT®) midpoint rule Time thresholds and prolonged E/M services","PeriodicalId":490755,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"87 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135166985","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 : 2023-10-01DOI: 10.1542/pcco_book234_document007
This article provides an overview of the technical correction and addresses how the revised guidelines affect services when the online digital evaluation and management service is provided in certain circumstances.
本文概述了技术修正，并讨论了在某些情况下提供在线数字评估和管理服务时，修订后的指南如何影响服务。
{"title":"Understanding the Technical Correction to Online Digital Evaluation and Management Service Guidelines (Online Exclusive)","authors":"","doi":"10.1542/pcco_book234_document007","DOIUrl":"https://doi.org/10.1542/pcco_book234_document007","url":null,"abstract":"This article provides an overview of the technical correction and addresses how the revised guidelines affect services when the online digital evaluation and management service is provided in certain circumstances.","PeriodicalId":490755,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135373212","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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