||||||||||| ix Foreword ||||||||||| The American Academy of Pediatrics (AAP) is pleased to publish this, the 21st edition of Coding for Pediatrics— an instructional manual and reference tool for use by primary care pediatricians, pediatric subspecialists, and others involved in the provision of care to children. The purpose of this manual is to support the delivery of quality care to children by providing the pediatric practitioner with the knowledge to best support appropriate business practices. Many changes have been made to this edition, including updating the 2016 Current Procedural Terminology (CPT®) codes with guidelines for their application. A new feature is the addition of references to AAP coding resources, such as articles in AAP Pediatric Coding Newsletter™, that may serve as a resource for extended discussion of a specific coding topic. These are provided under the heading, More From the AAP. (Separate subscriptions are required for some of the More From the AAP references.) For several years, Coding for Pediatrics has included information on International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) in anticipation of the transition on October 1, 2015. To continue supporting this transition, Coding for Pediatrics 2016 includes ICD-10-CM coding tips highlighting key documentation elements to support specific and accurate ICD-10-CM code selection. In addition, the AAP is pleased to continue to offer Coding for Pediatrics 2016 as an eBook. Any corrections that may be necessary subsequent to the publication of the manual will be available to read- ers of Coding for Pediatrics 2016 by accessing www.aap.org/cfp. Coding for Pediatrics 2016 does not replace CPT, ICD-10-CM, or Healthcare Procedure Coding System (HCPCS) rather, it supplements those manuals. Every effort has been made to include the 2016 codes and their respective guidelines however, revised codes and/or guide- lines may have been published subsequent to the date of this printing. Updates to this manual will be posted as appropriate on the Coding for Pediatrics Web site (www.aap.org/cfp). The AAP actively works with the American Medical Association (AMA) CPT Editorial Panel and the AMA/ Specialty Society Relative Value Scale Update Committee (RUC) to develop pediatric specialty codes and assign them appropriate relative value units. Since 1995, the AAP has contributed to the process that evaluates and reviews changes to the Medicare Resource-Based Relative Value Scale (RBRVS). Pediatricians have been actively involved in the AMA RUC Practice Expense Advisory Committee to review direct practice expenses for all existing codes. As importantly, the AAP is represented on the AMA CPT Editorial Advisory Panel and on the ICD- 10-CM Editorial Advisory Board. The AAP continues to be involved in all areas of payment. The AAP Committee on Coding and Nomenclature oversees all areas of coding as they relate to pediatrics, including CPT procedure coding, ICD-10-CM diagnosis coding, and the valuation of CPT services through the Medicare RBRVS. The AAP will continue to request new code changes and attempt to expeditiously notify membership of changes through various means. AAP Pediatric Coding Newsletter—a monthly newsletter available in print and online—provides members and their office personnel with up-to-date coding and payment information. The newsletter and other online resources can be accessed through the AAP newsletter Web site (http://coding.aap. org). Other resources include coding seminars presented at the AAP National Conference & Exhibition webinars sponsored by the AAP (www.aap.org/webinars/coding) instructional materials in AAP News, including the Coding Corner Pediatric ICD-10-CM: A Manual for Provider-Based Coding and various quick reference cards. A list of these and other resources can be found in Appendix D of this manual. The use of these resources should provide the membership with the skills needed to report their services appropriately. The Division of Health Care Finance at the AAP headquarters stands ready to assist with problem areas not adequately covered in this manual. The AAP Coding Hotline can be accessed through e-mail at aapcodinghotline@aap.org.
Previous Page Next Page