||||||||||| ix Foreword ||||||||||| The American Academy of Pediatrics (AAP) is pleased to publish this, the 24th 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 appropri- ate business practices. Many changes have been made to this edition, including updating the 2019 Current Procedural Terminology (CPT®) codes and update of International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes with guidelines for their application. A quick reference to new procedure codes is provided to assist with updating of other coding references (eg, superbills) and to alert readers to changes that may be of most interest to their practice. With a focus on creating ease of reference, Coding for Pediatrics 2019 is divided into the following parts: 1. The Quick References include all new and revised CPT and ICD-10-CM codes applicable to pediatrics. They also identify codes that have deleted for 2019. 2. Coding Basics and Business Essentials includes information on code sets, compliance, and business topics such as billing and payment methodologies. 3. Primarily for the Office and Other Outpatient Settings includes information on coding and billing of services such as office visits, outpatient consultations, and preventive services. 4. Primarily for Hospital Settings includes information on coding for inpatient and observation services, includ- ing newborn care and surgical procedures. 5. Digital Medicine Services includes discussion of coding for telemedicine services, remote monitoring and inter- pretation, and other services provided via digital technology. 6. The American Academy of Professional Coders continuing education quiz gives readers the chance to earn 4.0 continuing education units. 7. The appendixes include worksheets for chronic and complex patient management and vaccine coding information. As in previous years, the AAP is also pleased to continue to offer Coding for Pediatrics 2019 as an eBook. Any corrections that may be necessary subsequent to the publication of the manual will be available to readers of Coding for Pediatrics 2019 by accessing www.aap.org/cfp. Coding for Pediatrics 2019 does not replace CPT, ICD-10-CM, or the Healthcare Common Procedure Coding System rather, it supplements those manuals. Every effort has been made to include the 2019 codes and their respective guidelines however, revised codes and/ or guidelines 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 Review Committee to review direct practice expenses for all exist- ing 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 webi- nars sponsored by the AAP (www.aap.org/webinars/coding) instructional materials in AAP News, including the
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