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Presenting the AAP Pediatric Coding NewsletterTM Online, a monthly coding newsletter from the American Academy of Pediatrics (AAP), providing practical and accurate solutions to answer your most urgent pediatric coding questions.
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7/2/2014
July Issue Live


NCCI Edit Update Effective 1/1/14 Append modifier 25 as appropriate, to any E/M service(s) when you are also reporting pulmonology services (94010-94799) on the same claim. New edits went into effect and will require a modifier to override.

IMPORTANT NEWS – ICD-10-CM Delay!
President Obama signed legislation on April 2nd that included a delay to the ICD-10-CM transition until Oct 1, 2015. Accordingly, the U.S. Department of Health and Human Services expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning October 1, 2015. The rule will also require HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015. This is to provide time to better prepare and plan for the transition. If you have already begun to
...Read Full Announcement

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 This month's newsletter
July 2014
Volume 9, Number 10
View Newsletter Archive
In This Issue
Professional Component Services: More Than Codes
When physicians provide diagnostic services, payer policy may dictate not only codes and modifiers to be reported but other important information deemed necessary for proper claim payment.


Transitioning to 10: Documenting Abdominal Pain or Tenderness
Documentation requirement and ICD-10 code selection as pertaining to the commonly reported topic of abdominal pain.


Adaptive Behavior Assessments and Treatment
A review of the current CPT Category III codes regarding adaptive behavior assesment and treatment.


Q&A
ICD-10 delay spurs ICD-11 query; and split/shared services in the office setting.


Oral Health Services Update
New codes for oral health risk assessment as part of the universal preventative services recommendations.


You Code It! (Online Exclusive)
Split service of newborn visit, patient consultation, and circumcision.


AAP Pediatric Coding Newsletter™, July 2014 Quiz (Online Exclusive)
Quiz for AAPC Continuing Education Units


Newsletter Features
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• Browse all Transitioning to 10
• Browse all Denial Den
• Browse all Q&A
• Browse all Modify What?
• Browse all Online Exclusives
• Browse all Practice Management Tips
• Browse all You Code It!
• Browse all Coding Basics
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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