Coding for Pediatrics 2025

The AAP Committee on Coding and Nomenclature (COCN) is responsible for reviewing of all proposed changes to Current Procedural Terminology (CPT) and International Classification of Diseases, Tenth Revision, Clinical Modification (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 (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 Medicare Resource-Based Relative Value Scale (RBRVS).

Foreword
Acknowledgments
Quick Reference to 2025 CPT Pediatric Code Changes
How to Use This Manual
CFP 2025 Road Map

PART 1: CODING BASICS AND BUSINESS ESSENTIALS
Chapter 1: The Basics of Coding
Chapter 2: Coding Edits and Modifiers
Chapter 3: Coding to Demonstrate Quality and Value
Chapter 4: The Business of Medicine: Working With Current and Emerging Payment Systems
Chapter 5: Preventing Fraud and Abuse: Compliance, Audits, and Paybacks
Chapter 6: Evaluation and Management Documentation Guidelines

PART 2: PRIMARILY FOR THE OFFICE AND OTHER OUTPATIENT SETTINGS
Chapter 7: Non-Preventive Evaluation and Management Services in Outpatient Settings
Chapter 8: Preventive Services
Chapter 9: Indirect Management of Chronic and Complex Conditions
Chapter 10: Mental and Behavioral Health Services
Chapter 11: Common Testing and Therapeutic Services
Chapter 12: Qualified Nonphysician Health Care Professional Services
Chapter 13: Surgery, Infusion, and Sedation in the Outpatient Setting

PART 3: PRIMARILY FOR HOSPITAL SETTINGS
Chapter 14: Emergency Department Services
Chapter 15: Hospital Care of the Newborn
Chapter 16: Noncritical Hospital Evaluation and Management Services
Chapter 17: Critical and Intensive Care
Chapter 18: Common Surgical Procedures and Sedation in Facility Settings

PART 4: DIGITAL MEDICINE SERVICES
Chapter 20: Telemedicine Coding and Documentation Concepts
Chapter 21: Remote Data Collection and Monitoring Services

APPENDIXES
I. Vaccine Products: Commonly Administered Pediatric Vaccines
II. Test Your Knowledge! Answer Key

INDEXES
Subject Index
Code Index
AAP/Bright Futures “Recommendations for Preventive Pediatric Health Care” (Periodicity Schedule)