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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
Transitioning to 10: Documenting Diabetes Mellitus (Online Exclusive)

Excerpt: As instances of diabetes mellitus rise, be ready to capture and report accurately on this condition in light of the upcoming switch to ICD-10.
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August Issue Live

Breaking news: CMS confirms Oct. 1, 2015, effective date for ICD-10 code set
It's official: The health care industry – including physicians, hospitals, payers and home health agencies – will begin using the ICD-10 code set in place of ICD-9 on Oct. 1, 2015, CMS announced in a final rule issued July 31.

UHC rescinds denials for Albuterol based on age
July 15, 2014
The AAP addressed the issue of denials issued by UnitedHealthcare (UHC) for HCPCS codes J7611 and J7613 (Albuterol, concentrated or unit) based on the patient’s age.  As a result of the clarifications provided, UHC is rescinding its denials for Albuterol based on the patient’s age.
UHC will be changing the age limits for the code range J7609-J7620 to 0-999 years, meaning no age edits will be applied.  Claims reporting
...Read Full Announcement

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 This month's newsletter
August 2014
Volume 9, Number 11
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In This Issue
Observation Care Services: CPT or Medicare
Due in part to the differences between Current Procedural Terminology (CPT®) instructions and Medicare policy (adopted by many private payers), observational services continue to be a source of confusion for many physicians and coders. However, with a little more understanding of CPT instructions and the differences in value assigned to the codes that may be reported for observation services, physicians and coders can start to more effectively report this work.

Observation in the physician office; and an diagnosis codes for an automobile accident with no signs of injury.

Pupillometry in Clinical Care: New Procedure Code 0341T
New procedure code for pupillary response tests is thoroughly examined through case scenarios and coding tips.

Reporting the National Drug Code: A Refresher
Answer lingering questions on the reporting of national drug codes for vaccines and drugs.

Transitioning to 10: Documenting Diabetes Mellitus (Online Exclusive)
As instances of diabetes mellitus rise, be ready to capture and report accurately on this condition in light of the upcoming switch to ICD-10.

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

Newsletter Features
• 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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