See, 19
See also, 20
Seizures, 289
Selective head hypothermia, 299–300
Select picture audiometry, 345
Self-referrals, 398
Separate encounter (different operative
session), 51
Separate practitioner, 51
Separate structure (site/organ), 51
Septic shock, cardiac arrest, 265
Sequela, 18
Sequential infusion, 357
Sequential intravenous (IV) push, 355
Serum and transcutaneous bilirubin testing,
375
Sexually transmitted infection (STI) screening,
146
Sexual molestation, 361
Shared savings, 425
Shigella, 375
Short arm splint, 341
Short leg splint, 341
Significant, separately identifiable E/M service
by same physician, 34–37
Simple ligation of vessels, 336
Simple repair, 267, 336
Single liveborn infant, 218
Single organ system examinations, 96, 100–119
cardiovascular examination, 100–101
content and documentation requirements,
96
ear, nose, and throat examination, 102–103
eye examination, 104–105
genitourinary examination, 106–107
hematologic/lymphatic/immunologic
examination, 108–109
musculoskeletal examination, 110–111
neurological examination, 112–113
psychiatric examination, 114–115
respiratory examination, 116–117
skin examination, 118–119
Sixth digit (newborn), 334
Skin examination, 118–119
Skin tags, 334
Sling, 342
Small/light for gestational age, 220
Small-volume nebulizer (SVN), 347
Smoking cessation counseling, 133, 134
Snellen chart, 142
Solu-Cortef, 372
Soluspan, 372
Special needs children. See Children with
special health care needs
Special services, 208
Specific challenge testing, 350
Specimen handling, 353, 372–373
Speech-language pathologists, 366
Spirometric forced expiratory flows, 346
Spirometry, 345, 346
Splint, finger, 267, 341
Splint, short arm, 267, 341
Splint, short leg, 267, 341
Split/shared billing, 255–256
Split/shared E/M services, 77, 255–256
Sports/camp physicals, 131
Spun microhematocrit, 375
Staged or related service by same physician,
45
Standardized cognitive performance testing,
366
Steri-Strips, 336
Stinging insect venom, 351
STI screening. See Sexually transmitted
infection (STI) screening
Stomachache, 65
Straightforward medical decision-making, 73
Strap, ankle, 267
Strap, shoulder, 267
Strapping, 342
Streptococcal test, 375
Streptococcus, group A, 374, 375
Streptococcus, group B, 374
Subcategory, 18
Subcategory-level note, 24–25
Subsequent hospital care, 241–242
Subsequent nursing facility care, 178
Subsequent observation care, 236–237
“Subspecialty Corner: Surgery—The Package
Deal,” 34
Subungual hematoma evacuation, 267
Sunburn, 339
Superbill, 418
Supplies and materials, 370
Surfactant administration, 286
Surgery, critical illness after, 292
Surgical care only, 43, 44
Surgical package rules, 329–333
CPT/CMS surgical packages, compared,
329–330
PATH guidelines for billing, 332–333
postoperative care, 333
terminated procedures, 331
Surgical team, 47
Sus-Phrine, 371
Suture removal, 338
Suturing trays, 370
SVN. See Small-volume nebulizer (SVN)
Synagis, 135
Syphilis, screening test, 146
System for Award Management, 405
T
Table of Risk, 70–71
1995 guidelines, 89–90
1997 guidelines, 122
Tabular list, 18
TBSA. See Total body surface area (TBSA)
TB skin test. See Tuberculosis (TB) skin test
(Mantoux)
TC. See Technical component (TC)
TCM services. See Transitional care
management (TCM) services
Teaching physicians. See Physicians at
Teaching Hospitals (PATH) guidelines
Technical component (TC), 376–377
Telemedicine services, 165–166
CPT reporting, 11, 78–79
E/M coding, 159–161
E/M documentation and coding
guidelines, 78–80
HCPCS reporting, 79–80
interprofessional telephone/Internet
consultations, 165–166, 205–208, 249
modifiers, 11–12, 50–51
new, revised, and deleted CPT codes, 11–12
noncritical hospital E/M services, 249–250
nonphysician codes, 323, 325
online medical evaluation, 323
online medical services, 160–161, 207–208
prolonged services without direct patient
contact, 205–208
telephone services, 159–160, 206–207
Temporary transcutaneous pacing, 286
Terminated procedure, 331
Testing stool for occult blood, 375
Testing tools, 441
Therapeutic, prophylactic, and diagnostic
infusions, 356–357
Therapeutic, prophylactic, and diagnostic
injections, 355
Thoracentesis, 267
3- to 5-day-old post-discharge encounter, 226
Throat culture, 375
Time, 61, 73–74
Time-based critical care codes, 265
Tissue debridement, 336
Tobacco use cessation counseling, 133, 134
Toe fracture, 343
Tongue
incision, lingual frenulum, to free, 334
repair, 338
Topical fluoride application, 144–145
Totacillin-N, 371
Total bilirubin, 375
Total body surface area (TBSA), 338
Total body systemic hypothermia, 299–300
Total cholesterol, 375
Toxoids. See Immunization
T-piece positive-pressure ventilation, 296
TPVI. See Transcatheter pulmonary valve
implantation (TPVI)
Tracheostomy tube change, 344
Transcatheter pulmonary valve implantation
(TPVI), 359
Transcutaneous bilirubin testing, 375
Transcutaneous total bilirubin, 375
Transfusions, 354
Transitional care management (TCM)
services, 189, 195–198
Transportation and escort of patient, 369
Triglycerides, 146, 375
Triple Aim, 426
Tuberculosis (TB) skin test (Mantoux),
145–146, 374
Tubulointerstitial nephritis, 235
“2017 RBRVS: What Is It and How Does It
Affect Pediatrics?”, 421
2 hospital visits on same day, 244
2 new patient codes on same day, 131
2 surgeons, 46
Tympanometry, 345
U
Ultrasound procedures, 268–269
Umbilical catheterization, 286
Umbilical clamp, 334
Umbilical granuloma, 334
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