{"title":"Reporting the Evaluation and Management Visit Complexity Code","authors":"","doi":"10.1542/pcco_book240_document004","DOIUrl":"https://doi.org/10.1542/pcco_book240_document004","url":null,"abstract":"This article reviews the Healthcare Common Procedure Coding System (HCPCS) codes for office or other outpatient evaluation and management (E/M) visit complexity, including\u0000 Code G2211 to describe office or other outpatient E/M visit complexity Code G2211 as an add-on code reported in addition to office and other outpatient E/M services The Centers for Medicare & Medicaid Services (CMS) establishment of G2211 to recognize visit complexity in nonprocedural primary or subspecialty care","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"62 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140356143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"You Code It! Cannabis Poisoning in a 4-Year-Old","authors":"","doi":"10.1542/pcco_book240_document005","DOIUrl":"https://doi.org/10.1542/pcco_book240_document005","url":null,"abstract":"There has been a significant increase in the number of patients evaluated and treated for exposure to edible cannabis products. This coding challenge asks you to determine the correct procedure and diagnosis codes for services to a patient who presents with symptoms of cannabis poisoning.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"8 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140352905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical Decision-Making: Close-Up on Problems Addressed","authors":"","doi":"10.1542/pcco_book240_document001","DOIUrl":"https://doi.org/10.1542/pcco_book240_document001","url":null,"abstract":"This article includes answers to commonly asked questions about the number and complexity of problems addressed as an element of medical decision-making (MDM). This includes the following:\u0000 Acute uncomplicated illness versus acute illness with systemic symptoms Conditions managed by other physicians or other qualified health care professionals (QHPs) Addressing multiple acute uncomplicated illnesses or injuries Documenting chronic conditions Social determinants of health (SDOH) as diagnoses","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"58 36","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140356738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation and Management Coding: Reporting Multiple Services on the Same Date","authors":"","doi":"10.1542/pcco_book240_document003","DOIUrl":"https://doi.org/10.1542/pcco_book240_document003","url":null,"abstract":"This article addresses the following topics in relation to reporting multiple evaluation and management (E/M) services on the same date:\u0000 Payer policies for multiple E/M services Preventive and problem-oriented E/M services Multiple E/M services in different sites Documentation tips","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"71 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140355730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"You Code It! Answers: Cannabis Poisoning in a 4-Year-Old","authors":"","doi":"10.1542/pcco_book240_document006","DOIUrl":"https://doi.org/10.1542/pcco_book240_document006","url":null,"abstract":"This “You Code It!” challenge asked you to assign codes to a scenario where a 4-year-old presents to an emergency department (ED) physician with altered mental status due to poisoning from ingestion of edible cannabis products. These answers include the codes and rationale.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140356947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Coding Challenge: Hospital Evaluation and Management Services","authors":"","doi":"10.1542/pcco_book239_document003","DOIUrl":"https://doi.org/10.1542/pcco_book239_document003","url":null,"abstract":"In the November 2023 AAP Pediatric Coding Newsletter™, changes to the guidelines for reporting hospital inpatient or observation stays were discussed in the article, “CPT 2024: New Guidelines for Brief Hospital Stays” (https://doi.org/10.1542/pcco_book235_document004). Although taken from a long-standing Medicare policy, the new guidelines may be unfamiliar to physicians and other qualified health professionals (QHPs) who provide hospital care to children. This coding challenge offers the opportunity to confirm your understanding of the guidelines that are applicable to services provided on and after January 1, 2024.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"27 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140084357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Connecting Coding and Policy: Inguinal Hernias in Children","authors":"","doi":"10.1542/pcco_book239_document001","DOIUrl":"https://doi.org/10.1542/pcco_book239_document001","url":null,"abstract":"The June 2023 American Academy of Pediatrics clinical report, “Assessment and Management of Inguinal Hernias in Children” (https://doi.org/10.1542/peds.2023-062510), notes that inguinal hernia repair is one of the most commonly performed surgical procedures in children. In addition to the procedural considerations included in the clinical report, it is important that physicians who repair inguinal hernias and their coding and billing staff know the correct codes for reporting these procedures. This article reviews the following topics:\u0000 Evaluation and management with decision for surgery Diagnosis codes for inguinal hernia Laparoscopic inguinal hernia repair Open inguinal hernia repair","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"108 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140088617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}