Coding for Pediatrics 2015 ― A Manual for Pediatric Documentation and Payment

Published annually and currently in its 20th edition, Coding for Pediatricsis the signature publication in a comprehensive suite of coding products offered by the American Academy of Pediatrics (AAP). Written by pediatric coding experts for coders and physicians, the manual is a product of the AAP Committee on Coding and Nomenclature and is extensively reviewed each year by the AAP Coding Publications Editorial Advisory Board.

This year’s edition has been fully updated and revised to include all changes to the 2015Current Procedural Terminology (CPTR) and International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes, complete with accompanying guidelines for their application. The numerous clinical vignettes and examples featured in the book, as well as the many “Coding Pearls” included throughout, have also been fully revised and revisited.

The transition to ICD-10-CM has been delayed until October 1, 2015. Coding for Pediatrics, 2015 continues to provide guidance on this future transition including important documentation elements to support code selection inICD-10-CM. Numerous helpful tips are included throughout the book and highlight theICD-10-CM code set with “Transitioning to 10” call-out boxes.

Other changes for this edition include

• New Chapter on critical care in any setting, including new codes for extracorporeal membrane oxygenation and extracorporeal life support services
• New Chapter that includes services such as telemedicine, combined face-to-face andnon-face-to-face services, and services by nonphysician health care providers
• New Chapter on care of the neonate, including information for reporting care of the neonate after discharge
• New Coding fact sheets, sample appeal letters, denial tracking tool, and more

• New and Revised CPTR and ICD-9-CM Codes for 2015
• Diagnosis Coding: ICD-9-CM and ICD-10-CM
• Modifiers and Coding Edits
• Evaluation and Management Documentation and Coding Guidelines: Incident-To, PATH Guidelines, and Scope of Practice Laws
• Preventive Services
• Evaluation and Management Services in the Office, Outpatient, Home, or Nursing Facility Setting
• Perinatal Counseling and Care of the Neonate
• Noncritical Hospital Care
• Emergency Department Services
• Critical Care and Intensive Care
• Non-Traditional Evaluation and Management Services & Nonphysician Services
• Common Procedures and Non-E/M Medical Services
• Category II CPTR Codes—Pay for Performance Measures and Category III CPTR Codes—Emerging Technologies
• Fraud and Abuse: Compliance for the Pediatric Practice
• The Business of Medicine: From Clean Claims to Correct Payment and Emerging Payment Methodologies