Advanced Search

Revenue Cycle Insider

Pediatric Coding:

Check State Laws Before Changing Charts

Published on Thu Apr 09, 2026

You’ve reached your limit of free articles. Already a subscriber? Log in.

Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:

Simple explanations of current healthcare regulations and payer programs
Real-world reporting scenarios solved by our expert coders
Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
Instant access to every article ever published in Revenue Cycle Insider
6 annual AAPC-approved CEUs
The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles of

April 2026

Urology Coding:
Retain These Valuable Urinary Retention Coding Skills
Coding any underlying conditions causing the retention is key. When a patient visits your urology [...]

Primary Care Coding:
Improve ICD-10-CM Coding Accuracy for Hypo- and Hyperthyroidism
Are you accurately capturing thyroid disorders from etiology to associated conditions? Accurate coding of thyroid [...]

Primary Care Coding:
Distinguish E/M Services and the Role of Wart Debridement
Question: When a provider pares or debrides a wart during an office visit without performing [...]

Practice Management:
Stock Waiting Room With Kids in Mind
Question: I manage a practice that doesn’t focus on kids, but I know I see [...]

General Surgery Coding:
Find out if Lesion Excision Is Included in Advancement Flap Closure
Question: A patient came in for an excision of a forehead lesion. The lesion was [...]

Medicare Regulations:
Note GLP-1 Bridge Program for Second Half of 2026
Question: Does Medicare cover any semaglutide medications for beneficiaries? Do they need to meet any [...]

Optometry/Ophthalmology Coding:
Can You Bill 65815 During 66982’s Post-Op Period?
Question: A patient who underwent cataract extraction with intraocular lens (IOL) insertion (66982) 30 days [...]

Optometry/Ophthalmology Coding:
Learn What Separates Different Epithelial Excision Codes
Question: I have an operative note that lists the operation as “Keratectomy, right eye.” Below [...]

General Surgery Coding:
Identify the I&D Procedure Code for a Right Arm Abscess
Question: A patient presented to their primary care physician (PCP) on a Monday with complaints [...]

Podiatry Coding:
Size up Your Syndesmosis Surgical Coding
Question: A 22-year-old patient suffered a rupture of their distal tibiofibular ligament in their left [...]

Optometry/Ophthalmology Coding:
Code Punctal Occlusion Procedures With Precision
Pay attention to eyelid locations for correct E modifier usage. For millions of people across [...]

General Coding:
Stay on Top of This Alpha-Gal Encounter
Question: A patient reported to our office with a history of tick exposure approximately six [...]

Neurology & Pain Management Coding:
Get Patients to Track Pain With Diary
Question: We are a small pain management (PM) clinic in a rural area. We treat [...]

Practice Management:
Go Beyond Job Description or Sell Front Desk Staff Short
Question: I’m trying to advocate for my front desk team to get paid a higher [...]

Technology & Innovation in Healthcare:
Does Sleep Affect Pulmonary Rehab Participation?
Question: We see a lot of patients who have chronic obstructive pulmonary disease (COPD), and [...]

E/M Coding:
Know Which QHP Can Perform Which Nursing Home E/M Visits
Question: Can a nurse practitioner (NP) perform an initial comprehensive visit for a skilled nursing [...]

Medicare Regulations:
New Advance Beneficiary Notice Ready to Roll
Question: I read something about the advance beneficiary notice (ABN) form changing. Do you know [...]

Technology & Innovation in Healthcare:
Assess AI’s Auditing Capabilities Before Deploying the Technology
Question: What best practices should we implement when using artificial intelligence (AI) to perform audits? [...]

Podiatry Coding:
Reconstruct Your Knowledge of Ligament Repair Types
Question: Can you explain the differences between primary and secondary ligament repairs? Vermont Subscriber Answer: [...]

Cardiology Coding:
Assume Causality Unless Otherwise Noted With Combination Codes I25.11-
Question: The provider documents the patient having atherosclerotic heart disease with angina pectoris. Since codes [...]

Orthopedic Coding:
Navigate Unbundling and NCCI Guidelines in Arthroscopic Surgery
Find out when to report debridement codes. In medical coding, “unbundling” occurs when multiple CPT® [...]

Neurosurgery Coding:
Location Matters on This Spinal Stenosis Claim
Question: The neurosurgeon orders and interprets a cervical spinal X-ray for a patient with neck [...]

Emergency Department Coding:
Mind Your Modifiers on This Fracture Claim
Question: The emergency department (ED) physician treats a patient who reports to the ED with [...]

ICD-10-CM Coding:
A Return to Repeated Falls May Require 2 Dx Codes
Question: A patient presented to the provider after falling twice in the past two weeks. [...]

Gastroenterology Coding:
Can You Bill 43255 for Control of Contact Bleeding?
Question: I have a report from a diagnostic transoral esophagogastroduodenoscopy (EGD) procedure. The physician performed [...]

General Coding:
Clear Your Coding Category Confusion
Question: Can you clarify the three primary classifications of CPT® codes and their respective functions [...]

Diagnostic Radiology Coding:
Use 96450 for Nusinersen Administration
Question: A patient with spinal fusion presented for an intrathecal injection of nusinersen. The procedure [...]

Compliance:
If Transportation Is Available, Don’t Publicize the Option
Question: We have a lot of patients who do not have their own reliable transportation [...]

Orthopedic Coding:
Do You Use an Osteotomy Code for a Minimally Invasive Procedure?
Question: A patient presented for a minimally invasive osteotomy on the third metatarsal of the [...]

Pediatric Coding:
Check State Laws Before Changing Charts
Question: A teenaged patient has asked that we not discuss any of their care or medical [...]

E/M Coding:
Follow These Rules of Thumb for Coding E/M or Psychiatric Evaluation
See which specific services distinguish an E/M encounter from a psychiatric visit. Accurate coding in [...]

Emergency Department Coding:
Look to Repair Length for Accurate Code Choice
Question: Encounter notes indicate that the emergency department (ED) triage reported that a patient had [...]

Pediatric Coding:
Dig Deep for This Broken Glass Encounter
Question: A 10-year-old was brought into our office after cutting their foot open on glass while [...]

Orthopedic Coding:
Bolster Your BMAC Harvest and Injection Procedure Coding Knowledge
Question: An orthopedic surgeon performed an open reduction and internal fixation (ORIF) of a right [...]

Neurosurgery Coding:
Distinguish Details on Twist Drill Surgeries
Question: I have an operative report in front of me that I need some help [...]

Cardiology Coding:
How to Code a Diagnosis of Tetralogy of Fallot
Question: I am reviewing a pediatric inpatient chart. The patient has a confirmed diagnosis of [...]

Otolaryngology Coding:
Get the Anwers to Your Frequently Asked Tympanic Membrane Repair Questions
Time to brush off your ear anatomy skills. Coding tympanic membrane (TM) repairs presents a real [...]

Urology Coding:
Bridge the Gap With This Penile Procedure
Question: A 28-year-old patient came to the office describing a painful tugging sensation whenever they experienced [...]

Compliance:
Rely on Provider’s Documentation, Not Test Results
Question: I can see that a patient’s urine drug screen shows barbiturates and cannabis/marijuana. The [...]

Cardiology:
Do Not Stress About Stress Test Coding
Hint: Code choice can be affected by who owns the equipment. Stress testing is used [...]

General Surgery Coding:
Distinguish Surgical and Nonsurgical Management for Coding SBO
Determine whether the obstruction is chiefly responsible for the admission. When you are coding small [...]

Neurosurgery Coding:
Craniectomy or Craniotomy? Here’s How to Navigate 61304-61323
When the bone flap is replaced, look to this code series. Neurosurgical operative reports can [...]

Gastroenterology Coding:
Get Answers to Your Celiac Disease Coding Questions
Do not report a celiac disease ICD-10-CM code unless the Dx is confirmed. Do you [...]

Path/Lab Coding:
Proceed With Unbundling These Tests on Same DOS
Question: Can CPT® 81270 be billed together with 87522 on the same date of service [...]

Ob-Gyn Coding:
Get Answers to Your Ongoing Care Coding Questions
Find out how the Excludes1 notes come into play. When you’re coding encounters for ongoing [...]

Oncology/Hematology Coding:
Crack the Code on Drug Waste
Understand JW and JZ modifiers for accurate oncology billing. Controlling drug costs has become a [...]

Medicare Regulations:
Learn What's New Regarding Medicare Diabetes Prevention Program Expanded Model
Brush up on key changes to excel in effective program delivery. The Centers for Medicare [...]

Otolaryngology Coding:
Understand Approach, Repair to Choose the Correct Microlaryngeal Cordectomy Code
Question: What is the correct CPT® code for a microlaryngeal cordectomy? AAPC Forum Participant Answer: [...]

View All

Subscribe to newsletter