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In This Issue
The Debate: Report an Evaluation and Management Service With Procedure or the Procedure Alone?
Because primary care pediatricians most often report evaluation and management (E/M) services, there is a tendency to overlook procedures in conjunction with or independent of an E/M service. Current Procedural Terminology (CPT®) and the Centers for Medicare & Medicaid Services (CMS) instruct the physician to report only the codes that most accurately describe the services or procedures that are performed and documented. Please note that CPT refers to procedures as surgical services, even though they include minor services performed in a clinic setting by physicians regardless of specialty. For purposes of this article, the terms surgery and procedure are used interchangeably.
Codes for Albuterol Change—Once Again!
Reinstating codes J7611-J7614 for reporting albuterol and levalbuterol provided on or after April 1, 2008
Denial Den
Using codes 99050-99060 for after hours E/M services
Point to Ponder
Selecting the level of service for a new patient office visit
Q&A
Marshall syndrome, catheter replacement, cellulitis, removal of embedded earrings, admission by a hospitalist, and biopsy
You Code It!
Counseling for stopping smoking
Note These Corrections to Current Procedural Terminology 2008
Change for code 99295
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the volume and frequency of code and valuation revisions may result in some archived material being temporarily out of date.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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