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Prepare now for new ICD-10-CM codes that take effect Oct. 1

from AAP Child Health Financing Strategy
Published: August 01, 2022
TOPICS: Billing & Coding
Abstract
Refer to the ICD-10-CM addenda for all new codes and revisions.
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Revisions to hospital E/M codes to take effect in 2023

from AAP Child Health Financing Strategy
Published: July 01, 2022
TOPICS: Billing & Coding, Hospital Medicine
Abstract
While all levels of initial and subsequent hospital or observation care still will include a medically appropriate history and/or examination, these no longer will be components of code selection.
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AAP working with members to address issues with payers

Susan J. Kressly, M.D., FAAP
Published: July 01, 2022
TOPICS: Administration/Practice Management, Advocacy, Billing & Coding
Abstract
Pediatric councils and the Coding Hotline are among the resources AAP members can access when payer policies impact their ability to provide high-quality care to patients.
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Emergency department E/M codes revised for 2023

from AAP Child Health Financing Strategy
Published: June 01, 2022
TOPICS: Billing & Coding, Emergency Medicine, Vaccine/Immunization, COVID-19
Abstract
New ICD-10-CM codes released for COVID immunization status.
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Use these coding strategies to get paid for addressing families’ emotional health

John C. Duby, M.D., FAAP, and Carole M. Lannon, M.D., M.P.H., FAAP
Published: June 01, 2022
TOPICS: Billing & Coding, Psychiatry/Psychology, Psychosocial Issues
Abstract
Using time-based CPT codes and Z codes can help clinicians financially sustain the time and resources needed to support family emotional health needs.
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Questions continue to arise regarding revisions to office-based E/M codes

from AAP Child Health Financing Strategy
Published: May 02, 2022
TOPICS: Billing & Coding, COVID-19
Abstract
The AAP has webinars to help with coding.
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Stay up to date on changes in coding, billing for telehealth services

from the AAP Division of Health Care Finance
Published: April 01, 2022
TOPICS: Billing & Coding, Telehealth Care
Abstract
Review payer newsletters and websites to stay informed on changes in payers’ telehealth policies.
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What to do if payers downcode pediatric visits

Susan J. Kressly, M.D., FAAP
Published: March 16, 2022
TOPICS: Advocacy, Billing & Coding
Abstract
Practices impacted by downcoding can connect with their AAP chapter and/or pediatric council to better understand regional impact on other pediatricians and explore opportunities for broader advocacy.
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E/M codes that require key components to be revised for 2023

from the AAP Division of Health Care Finance
Published: February 01, 2022
TOPICS: Administration/Practice Management, Billing & Coding
Abstract
The AAP will provide educational resources to prepare for implementation in 2023.
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Physician fee schedule includes values for new CPT codes

from the AAP Division of Health Care Finance
Published: January 02, 2022
TOPICS: Billing & Coding, Environmental Health, Telehealth Care
Abstract
In today’s rapidly changing health care environment, it is crucial to understand the Medicare resource-based relative value scale physician fee schedule.
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Get up to speed on CPT coding changes that take effect Jan. 1

from the AAP Division of Health Care Finance
Published: November 01, 2021
TOPICS: Administration/Practice Management, Billing & Coding
Abstract
Changes relevant to pediatrics include evaluation and management, surgical and medicine codes.
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Coming in 2022: New CPT codes for principal care management

from the AAP Division of Health Care Finance
Published: October 01, 2021
TOPICS: Billing & Coding
Abstract
Subspecialists can use the new PCM codes if they manage a specific condition for a patient and meet the requirements.
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New ICD-10-CM codes for pediatric feeding disorder take effect Oct. 1

Published: September 01, 2021
TOPICS: Administration/Practice Management, Billing & Coding
Abstract
Many variables impact a child’s ability to learn to eat, grow and be nourished. Pediatricians must understand this and ask the right questions to detect pediatric feeding disorder.
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New ICD-10-CM codes take effect Oct. 1; prepare now

from the AAP Division of Health Care Finance
Published: August 01, 2021
TOPICS: Billing & Coding
Abstract
Refer to the ICD-10-CM addenda for all new codes and revisions to the classification.
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Answers to questions about time in new office-based E/M service guidelines

from the AAP Division of Health Care Finance
Published: July 01, 2021
TOPICS: Billing & Coding
Abstract
Since the new guidelines for office-based evaluation and management (E/M) services took effect on Jan. 1, many questions have arisen regarding time.
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AAP develops coding, billing guidance for COVID-19 vaccine services

from the AAP Division of Health Care Finance
Published: May 10, 2021
TOPICS: Billing & Coding, Infectious Diseases, Vaccine/Immunization, COVID-19
Abstract
Resources on the website guide members on how to bill private payers, Medicaid plans and Medicare.
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Combination DTaP-IPV-Hib-HepB vaccine coming soon

Trisha Korioth, Staff Writer
Published: May 01, 2021
TOPICS: Billing & Coding, Infectious Diseases, Vaccine/Immunization
Abstract
Vaxelis is indicated for use as a three-dose series in infants at ages 2, 4 and 6 months.
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E/M code revision makes choosing prolonged service code more complicated

from the AAP Division of Health Care Finance
Published: April 01, 2021
TOPICS: Billing & Coding
Abstract
Prior to 2021, there were three sets of unique prolonged service codes. Now, there are four.
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AAP advocacy spurs update to 2021 E/M guideline

Published: March 12, 2021
TOPICS: Billing & Coding
Abstract
Because of the AAP’s continued advocacy, the AMA has updated its guidance through a technical correction.
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When to use normal care, sick care codes for newborns in hospital

from the AAP Division of Health Care Finance
Published: March 01, 2021
TOPICS: Billing & Coding, Fetus/Newborn Infant, Standard of Care
Abstract
Some babies may have an ICD-10-CM abnormal diagnosis or an observation diagnosis reported but still may qualify for normal newborn care.
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