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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.
Featured Article
New Category II Codes (Pay-for-Performance Measures) Applicable to Pediatrics

Excerpt: Using Category II codes to monitor performance, patient compliance, and outcomes for common conditions
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News and Events
11/2/2009
November Issue Live


Reporting H1N1 Influenza Immunization Services Provided to Patients Covered Under Commercial Insurance – Updated October 6, 2009
 
The H1N1 influenza virus vaccine (Swine flu) product will be furnished to providers by the federal government for all patients regardless of insurance.  It is expected that the shipment of the vaccine product will also include the necessary supplies (eg, syringes, needles, sharps containers and alcohol swabs).  The distribution of the vaccine will be determined by each state and may include physicians, pharmacies, public health departments, and schools. 
 
The American Academy of Pediatrics (AAP) has queried the large commercial payers to discern their policy regarding billing and coverage for the immunization administration of the H1N1 influenza vaccine product when it is
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 This month's newsletter
November 2009
Volume 5, Number 2
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In This Issue
Current Procedural Terminology® 2010
The 2010 changes to Current Procedural Terminology (CPT®) are effective for reporting services provided on or after January 1, 2010. Significant changes in-clude more specific language to differentiate a consultation from a transfer of care, new guidelines for reporting non-face-to-face prolonged physician services, substantial changes to the integumentary system codes and definitions in the surgery section of CPT, and new codes for pediatric pulmonary function tests. Other important changes include the introduction of new Category II (performance measures) codes for pediatric end-stage renal disease and HIV/AIDS.


Denials to Dollars: American Academy of Pediatrics Advocates for Increased Payment for Combination Vaccines
New CPT codes AAP has developed to more accurately reflect physician work administering combination vaccines


CPT 2010 Changes: Evaluation and Management Services
Concurrent Care vs. Transfer of Care, Non-face-to-face prolonged physician services, and Nursing Facility Care


CPT 2010 Changes: Medicine
Immune Globulins, Vaccines and Toxoids, Pulmonary Function Testing, and Highly Complex Drug and Biologic Administration


You Code It!
Reporting services performed by 2 hospitalists for an inpatient


Reporting Influenza: Use the New 2009 ICD-9-CM Codes
Two new codes to report A/H5N1 and H1N1 influenza


Q&A
Diagnosis code for plastic surgeon scar revision, vaccine counseling with parental refusual to immunize, Edinburgh Postnatal Depression Scale for the mother, and adjusting medication over the telephone


AAP Pediatric Coding Newsletter™, Volume 5, Number 2 (November 2009), Quiz
Quiz for AAPC Continuing Education Units


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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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