Pediatricians and pediatric subspecialists will be affected by the many changes in the 2011 Current Procedural Terminology (CPT®) when they become effective January 1, 2011. This special issue of AAP Pediatric Coding Newsletter™ gives you a heads-up on one of the major changes. Other new and revised codes and reporting guidelines will be featured in detail in the December 2010 issue of the newsletter and Coding for Pediatrics 2011.

As you are aware, the administration of combination vaccines results in additional work of vaccine risk and benefit counseling that is proportionate to the number of components in a particular vaccine. Pediatricians have voiced concern that the current immunization administration codes (90465–90474) do not accurately capture the physician work of vaccine risk and benefit counseling because single or combination vaccines were reported identically, with no additional credit allowed for vaccines with more than one component. The new...

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