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Pediatric Coding Alert

You Be the Coder:

Look for Problem-Oriented ICD-9 Code

Question: Our pediatrician reports code V21.1 (Puberty) when checking puberty level for sports. Our insurer is denying this code with 99213 as inconsistent with the CPT® code. Which ICD-9 code should we report instead?  Answer: Because puberty is a “normal” state, it won’t typically support reporting of a problem-oriented E/M code.  If no problems were addressed during the visit and the [...]