Coding for Pediatrics 2023

The AAP Committee on Coding and Nomenclature (COCN) is responsible for reviewing of all proposed changes to CPT and ICD-10-CM coding structures to determine whether the Academy will endorse the proposal; participates in the American Medical Association/Specialty Society Relative Value Scale Update Committee's (RUC) survey process by validating clinical vignettes, evaluating survey data, and deciding on physician work and practice expense relative value units (RVUs) to recommend to the RUC; and serves as a review panel regarding other activities such as identifying Academy positions on the RBRVS. The COCN also monitors the Medicare RBRVS physician fee schedule and its adoption by private and public payers. To update pediatricians on its activities, including the formal publication of new and revised CPT and ICD-10-CM coding structures and final values for CPT codes used by pediatricians, pediatric medical subspecialists, and pediatric surgical specialists, the COCN publishes periodic articles in AAP News along with a monthly coding column called Coding-Corner.

Foreword
Acknowledgements
How to Use This Manual
Part 1: Coding Basics and Business Essentials
1. The Basics of Coding
2. Coding Edits and Modifiers
3. Coding to Demonstrate Quality and Value
4. The Business of Medicine: Working with Current and Emerging Payment Systems
5. Preventing Fraud and Abuse: Compliance, Audits, and Paybacks
6. Evaluation and Management Documentation Guidelines
Part 2: Primarily for the Office and Other Outpatient Settings
7. Non-Preventive Evaluation and Management Services in Outpatient Settings
8. Preventive Services
9. Telephone and Online Digital Evaluation and Management Services
10. Indirect Management of Chronic and Complex Conditions
11. Mental and Behavioral Health Services
12. Common Non-facility Testing and Therapeutic Services
13. Qualified Nonphysician Health Care Professional Services
14. Surgery, Infusion, and Sedation in the Outpatient Setting
Part 3: Primarily for Hospital Settings
15. Emergency Department Services
16. Hospital Care of the Newborn
17. Noncritical Hospital Evaluation and Management Services
18. Critical and Intensive Care
19. Common Surgical Procedures and Sedation in Facility Settings
Part 4: Digital Medicine Services
20. Telemedicine Services
21. Remote Data Collection and Monitoring Services

Appendixes
I. Quick Reference to 2023 ICD-10-CM Pediatric Code Changes
II. Quick Reference to 2023 CPT® Pediatric Code Changes
III. Vaccine Products: Commonly Administered Pediatric Vaccines
IV Test Your Knowledge! Answer Key
Indexes 
Subject Index
Code Index
AAP/Bright Futures "Recommendations for Preventive Pediatric Health Care" (Periodicity Schedule)