This edition ofCoding Companionis dedicated to the Resource-Based Relative Value Scale (RBRVS) and its use in pediatrics. This issue’s lead article focuses on contrasting services, well or preventive care services, and the selection of the best codes to report for fracture care in the office setting.

As you know, RBRVS is the fee schedule used by the Centers for Medicare & Medicaid Services (CMS) as its physician fee schedule. The fees published here are based on assigning a relative value unit (RVU) to Physicians’ Current Procedural Terminology (CPT®) codes based on the resources used to provide the service—physician work, practice expense, and professional liability insurance. This relative value is expressed in units that must be multiplied by a conversion factor to give a payment. Pediatricians are greatly affected by these values because most private payers and state Medicaid agencies pay based on the schedule. Contracts for...

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