Chapter 1 – New and Revised CPT® Codes for 2019
Chapter 2 – Diagnosis Coding: ICD-10-CM
Chapter 3 – Modifiers and Coding Edits
Chapter 4 – Evaluation and Management Documentation Guidelines
Chapter 5 – Time-Based Coding
Chapter 6 – Preventive Services
Chapter 7 – Evaluation and Management Services in the Office, Outpatient, Home, or Nursing Facility Setting
Chapter 8 – Managing Chronic and Complex Conditions
Chapter 9 – Pre-birth Counseling and Care of the Newborn
Chapter 10 – Noncritical Hospital Evaluation and Management Services
Chapter 11 – Mental Health Services
Chapter 12 – Emergency Department Services
Chapter 13 – Critical and Intensive Care
Chapter 14 – Telemedicine
Chapter 15 – Allied Health and Clinical Staff Services
Chapter 16 – Common Surgical Procedures and Sedation
Chapter 17 – Common Testing and Therapeutic Services
Chapter 18 – Coding to Demonstrate Quality and Value
Chapter 19 – Preventing Fraud and Abuse: Compliance, Audits, and Paybacks
Chapter 20 – The Business of Medicine: Working With Current and Emerging Payment Systems
Chapter 21 – Continuing Education Units (CEUs) for American Academy of Professional Coders
I. Sample Assessment/Testing Tools
II. Vaccine Products: Commonly Administered Pediatric Vaccines
III. Chronic Care Management Worksheet
IV. Care Plan Oversight Encounter Worksheet
V. Global Per Diem Critical Care Codes: Direct Supervision and Reporting Guidelines
VI. Effective Health Plan Appeals: The Ins and Outs
VII. Sample Denial Tracking Tool
This year' completely updated 24th edition includes all changes in CPT codes- complete with expert guidance for their application. The book' many clinical examples and vignettes, as well as the many coding pearls throughout, provide added guidance needed to ensure accuracy and payment.
Key updates include
• A new section, Coding Basics and Business Essentials, includes general topics of interest to all pediatricians.
• A new chapter that introduces each code set- CPT, ICD-10-CM, HCPCS, and NCD- and illustrates how codes are reported on claims.
• New sections feature content related primarily to outpatient services and those primarily for hospital settings for ease of reference.
• A new chapter centers on coding for mental and behavioral health services, including developmental and neuropsychiatric testing (codes change in 2019).
• ICD-10-CM and CPT 2019 code updates are included.
The AAP Committee on Coding and Nomenclature (COCN) is responsible for reviewing of all proposed changes to CPT and ICD-9-CM coding structures to determine whether the Academy will endorse the proposal; participates in the American Medical Association/Specialty Society Relative Value Scale Update Committee' (RUC) survey process by validating clinical vignettes, evaluating survey data, and deciding on physician work and practice expense relative value units (RVUs) to recommend to the RUC; and serves as a review panel regarding other activities such as identifying Academy positions on the RBRVS. The COCN also monitors the Medicare RBRVS physician fee schedule and its adoption by private and public payers.
To update pediatricians on its activities, including the formal publication of new and revised CPT and ICD-10-CM coding structures and final values for CPT codes used by pediatricians, pediatric medical subspecialists, and pediatric surgical specialists, the COCN publishes periodic articles in AAP News along with a monthly coding column called Coding ?Corner.