Pediatric Coding Alert

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Navigate New Intensive Care, Critical Care Transfer Rules

Published on Thu Dec 06, 2012

Last month, we told you how CPT® 2013 changes the way you should report neonatal and pediatric critical care, intensive care, and transfers--but several readers wrote with follow-up questions requesting more information for various types of patients. To quell any confusion that you may have regarding the 2013 rules, we've got the following handy chart, which can lead you to the correct code every time.

Pediatric Coding Alert

2013 Payment:
99495-99496: Two New Codes Allow You to Report Transitional Care Management Services
Payment assignments to these codes could signal the way for private payer fees. CMS offers [...]

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Navigate New Intensive Care, Critical Care Transfer Rules
Last month, we told you how CPT® 2013 changes the way you should report neonatal [...]

Electronic Health Records:
Don't Buy Into These 3 Common EHR Fallacies
Protect your pediatric pay by avoiding these mistakes involving electronic health records. Many pediatric practices [...]

ICD-10:
Consider How You'll Code After V20.2 No Longer Exists
Your practice probably performs well child visits each day, but how to report them will [...]

You Be the Coder:
Modifiers Might Be Required for Well/Sick Visit Combos
Question: We billed a well-child checkup and a sick visit on the same day. For [...]

Reader Question:
Code Signs/Symptoms When Separate From Definitive Dx
Question: Can I report the diagnosis codes for tonsillitis, pharyngitis and upper respiratory infection together? [...]

Reader Question:
State Laws Dictate Who the Doc Can Supervise
Question: Can a pediatrician bill as a supervising provider when the staff member (in our [...]

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