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Pediatric Coding Alert

E/M Coding:
Know These 4 Big Changes Coming to Outpatient E/M Time Coding
But prolonged clinical staff services coding stays the same. In the April issue of P... Read more
Critical Care:
Consider Clinical Criteria, Bundled Services, Before Coding Critical Care
But ignore location as a deciding factor. “Critical care is … determined … by the&n... Read more
ICD-10 Coding:
Determine the Answers to These Frequently Asked SDOH Questions
Screen often for environmental factors influencing patient health, experts say. We are al... Read more
Reader Question:
Catch Up With These New COVID-19 Codes, Guideline Changes
Question: There have been so many coding changes regarding COVID-19 that we are having tr... Read more
You Be the Coder:
Look Beyond F90 for ADD Reporting
Question: I am confused by the F90.- codes, particularly which one to use when a patient i... Read more
News You Can Use:
Stay Current With the 2020 CMS COVID-19 Telehealth Waivers
Health emergency forces new additions to the telehealth list and temporary guidelines. Th... Read more
Guidelines:
Dial-in Your Knowledge of Telehealth Services
Dial-in Your Knowledge of Telehealth Services Master check-in, e-visit, and telemedicine ... Read more
Mythbusters:
Bust These Myths for Timely Seasonal Allergy Coding Relief
Our experts' advice is nothing to sneeze at. ‘Tis the season for seasonal allergies. Th... Read more
You Be the Coder:
Understand Procedure for Accurate Lysis Adhesion Removal
Question: Our pediatrician performed a lysis of adhesions for a patient who had a previous... Read more
Reader Question:
Keep On Top of These COVID-19 Code Choices
Question: What are the current guidelines regarding ICD-10 and CPT® coding for the COVID-... Read more
E/M Coding:
Modify Your 2021 MDM Understanding by Learning These Key Changes
 CPT® unveils new MDM table, definitions. Last month in Pediatric Coding Alert, we ... Read more
Coding Quiz:
How High Can You Score on This Underimmunization Quiz?
Time to get your Z28 understanding back on track. While the overall number of children va... Read more
Documentation:
Take Time to Fine-Tune Your Documentation Practices
Protect patients, providers with these 21 elements, 6 core components, and 5 tips. If y... Read more
Coding Quiz Answers:
Check Your Answers to Our Underimmunization Quiz
Find out if your coding knowledge needs to get back on schedule. Once you've answered the... Read more
Reader Question:
Encounter These Codes for STD Testing
Question: I have a pediatrician that is using A64 when he tests a patient for a sexually t... Read more
Reader Question:
Digest This Advice for Vegan Anemia Screening
Question: Our pediatrician just saw one of our adolescent patients who adopted a vegan lif... Read more
You Be the Coder:
Don’t Let These Codes Impact Your Excess Earwax Removal Reporting
Question: Our pediatrician removed cerumen from a patient's left and right ears. The cerum... Read more
2020 Reimbursement:
Protect Your 2020 Bottom Line With These 5 Steps
Don't let decreases in revenue for common peds services drag you down. Every year, Chip H... Read more
E/M Coding:
Know How MDM Will Change – and How it Won’t – in 2021
Say hello to new outpatient E/M guidelines, goodbye to 99201. In Pediatric Coding Alert v... Read more
ICD-10 Coding:
Follow the Guidelines, Code Abuse by the Book
And make sure your practice is prepared for the worst. Treating a child who has been phys... Read more
Reader Question:
Make This Code Your First Choice in This Second-Degree Burn Scenario
Question: One of our patients recently received a second-degree burn to the palm of her le... Read more
Reader Question:
Let Method Guide FBR Code Choice
Question: One of our teenage patients was involved in a car accident. She was treated at t... Read more
Reader Question:
Take Pains to Code This Foot Problem Correctly
Question: An adolescent male patient came in with pain in the right foot around the ankle ... Read more
You Be the Coder:
Examine Your Subsequent Care Savvy With This Scenario
Question: One of our young patients was just hospitalized for acute gastroenteritis and de... Read more
News You Can Use:
Note These Extensive NCCI Edits for Online Digital E/Ms
Make sure you bill email communications correctly this year. Late last year, the Centers ... Read more
Mythbusters:
Bust These 4 Myths, Preclude Preventive Service Claim Errors
Knowing what is, what is not, included is key. Preventive services are the lifeblood of a... Read more
Condition Spotlight:
Weigh the Answers to These Frequently Asked Pediatric BMI Questions
And take heed of these 3 notes of caution. Coding for a pediatric patient's body mass ind... Read more
Reader Question:
Examine This Encounter, Claim This Code
Question: Our pediatrician just saw a 4-year-old patient for a new patient well-child chec... Read more
Reader Question:
Know When, When Not, to Report Professional Service Component
Question: I'm hoping you can provide clarification on the appropriate date of service (DOS... Read more
Reader Question:
Choose This Code for Higher Level of Neonate Care
Question: Our pediatrician was making rounds at the local hospital and transferred a newbo... Read more
You Be the Coder:
Don’t Prolong This Neonatal Intensive Care Service
Question: If we bill 99468 for neonatal intensive care, can we also bill a prolonged servi... Read more
E/M Coding:
Get Ready for the Upcoming E/M Changes With These 5 Tips
Hint: Now's the time to prepare for 2021. You know that, on Jan. 1, 2021, evaluation and ... Read more
Care Management:
Add These Changes to Your 2020 Care Management Coding Cognition
Build your CCM, TCM knowledge and increase your bottom line. In last month's Pediatric Co... Read more
Case Study Corner:
Evaluate Levels in This OM Case Study
See if you agree with our experts' decisions. You have probably coded more evaluation and... Read more
Reader Question:
Use Normal Newborn, Procedure Codes in This Home Birth Scenario
Question: Our pediatrician performed a normal newborn well-child service on a child w... Read more
Reader Question:
Test Your Knowledge of CPT® Time Guidelines With This Code
Question: We want to use 96112 for ASQ-3 questionnaires, but we're not sure what the code'... Read more
Reader Question:
Get Sore Throat Relief With This Dx
Question: We recently ran a rapid strep test on a young patient who came in complaining of... Read more
You Be the Coder:
Take This Counsel When Billing for Wellness Visits
Question: My pediatrician has just seen an infant for a wellness visit. The infant was bor... Read more