vii PEDIATRIC ICD-10-CM 2019: A MANUAL FOR PROVIDER-BASED CODING Foreword The American Academy of Pediatrics (AAP) is pleased to publish this fourth edition of Pediatric ICD-10-CM: A Manual for Provider-Based Coding, a pediatric version of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) manual. The AAP believes it is vital to publish an ICD-10-CM manual that is more manageable for pediatric providers. The expansive nature of the code set from International Classification of Diseases, Ninth Revision, Clinical Modification to ICD-10-CM overwhelmed many physicians, providers, and coders, so we condensed the code set by only providing pediatric-relevant diagnoses and their corresponding codes. However, as we move forward, we want members to have access to more codes and those that are less common in pediatrics but still need to be included. We reduced the guidelines so that only those applicable to the physician or provider are included, while those only relevant to facilities are removed. When needed, they can be located in the larger ICD-10-CM manual. Lastly, guidelines that exist for topic-specific chapters or specific codes can now be found in their respective tabular chapter or right where the specific code is listed. This will aid the user in identifying any chapter- or code-specific guidelines right where they are needed most. This should assist in reducing any coding errors caused by reporting services that go against the guidelines that were once solely kept in the front of the manual, away from applicable codes. In addition, tips are included throughout to aid in your coding. These are unique to this manual. The AAP is committed to the clinical modification of the ICD code set and, for the past several years, sent an AAP liaison, Jeffrey F. Linzer Sr, MD, FAAP, to the ICD Coordination and Maintenance Committee Meeting. This is the semiannual meeting where all new ICD codes are presented, as well as revisions to the tabular list, index, and guidelines. Having a dedicated expert liaison aids in presenting pediatric issues at the meeting. The AAP is also very pleased to continue its work with the ICD Editorial Advisory Board for Coding Clinic for ICD-10-CM and ICD-10-PCS. Coding Clinic is responsible for publishing ICD coding guidance and clarifications to supplement the ICD-10-CM manual. Dr Linzer sits on the Editorial Advisory Board to represent pediatric issues and is an expert on all ICD-10-CM matters. The AAP will continue to support its members on issues regarding coding, and the Health Care Financing Strategy team 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 ICD_10-4th_ed.indb 7 8/16/18 5:33 PM
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