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In This Issue
Reporting Consultations Using
Medicare Requirements
The Centers for Medicare & Medicaid Services (CMS) recently updated its
requirements for reporting consultation services provided to Medicare patients.
Effective with services provided and billed to the Medicare program on January
1, 2010, and after, the CMS directs a consulting physician to report the most
appropriate available evaluation and management (E/M) code in lieu of reporting
Current Procedural Terminology (CPT®) consultation codes 99241–99245
and 99251–99255.
New CPT Codes for Pandemic Influenza Vaccines
Pandemic influenza vaccine codes 90664-90668 based on product type and route of administration
It's an Emergency!
ED visit codes 99281-99285 for unscheduled episodic services provided in an organized 24-hour hospital-based facility on an immediate basis
Q&A
Newborn visit in physician's office instead of hospital, classroom observation, counseling for unimmunized infant, and pregnant patient
Remote Critical Care Services
Patient management by a physician at a distant site at the request of the on-site pediatrician
You Code It! (Online Exclusive)
E/M and critical care provided in the emergency department
Crosswalking ICD-9-CM to ICD-10-CM: Diseases of the Ear
and Mastoid (Online Exclusive)
Increased specificity and new codes for ICD-10-CM
AAP Pediatric Coding Newsletter™, July 2010 Quiz (Online Exclusive)
Quiz for AAPC Continuing Education Units
Note: Given the relative frequency with which code and valuation revisions occur, some AAP Pediatric Coding Newsletter™ Online archived articles may not reflect the most current information available. While we make every effort to update articles or retire those no longer relevant, the volume and frequency of code and valuation revisions may result in some archived material being temporarily out of date.
Because the American Academy of Pediatrics (AAP) is not able to verify the accuracy of the facts relating to a patient encounter, we cannot be held responsible for any coding decisions that you make based on the guidance you receive from the AAP. It is your responsibility to only code for what you do during a patient encounter.
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