Pediatric Coding Q&A: Expert Advice From the AAP Coding Hotline

The American Academy of Pediatrics is an organization of 67,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. The AAP is the largest pediatric publisher in the world, with a diverse list of resources that includes essential clinical and practice management titles and award-winning books for parents.

Introduction Administrative Examinations (including sports physicals) and Forms Sports Physicals Examinations Required For Overseas Transfer Foster Care or Protective Services Check-up Completion of Forms Coding Completion of Court Documents After-hours, Emergency, Weekend or Holiday Services Services Provided on Holidays Offering After-hours Preventive Visits After-hours Telephone Service Nurse Visits During Regularly Scheduled Weekend Hours Allergy and Immunologic Services Epinephrine Injector Demonstration Evaluation and Management and Allergy Testing Coding a Discontinued Ingestion Challenge Administration of Oral Diphenhydramine Asthma Asthma Prescription Drug Management Diagnosing Asthma at Preventive Visit Coding the Asthma Control Test Refill of Asthma Medications During Preventive Visit Inhalation Treatment and Demonstration of Nebulizer Inhalation Treatment via Metered-dose Inhaler Attention-deficit Hyperactivity Disorder (ADHD) ADHD Rating Scales Date of Service for ADHD Rating Scales Assessment for ADHD Without Diagnosis ADHD Follow-up Visit Rating Scales as Data Elements ADHD as a Moderate Complexity Problem Diagnosis Codes for ADHD Patient Not Present for ADHD Visit Autism and Developmental Pediatrics Diagnosis Coding for Autism Adding a Developmental Pediatrician Autism Screening and Testing Developmental Testing Time Developmental Testing and Evaluation and Management Services Behavioral Health Childhood Grief Health Behavior Assessment and Intervention Interprofessional Consultations with Mental Health Professionals. Discussion of management with Behavioral Health Professional Counseling for Alcohol or Substance Use Service Provided Without Patient Present Behavioral Health Service to Parent Psychiatric Services by a Pediatrician Billing and Claims Completion Downcoding of Claims Using Modifiers National Provider Identifiers (NPIs) on Claims Billing for Locum Tenens Speaking with Childs Guardian Ad Litem Breastfeeding and Lactation Counseling Codes for Breastfeeding Support and Lactation Counseling Payer Policies for Reporting Breastfeeding Support and Lactation Consultations Lactation Counseling as a Split or Shared Service Medical Decision-making: Discussion with Lactation Consultant Burns Evaluation and Management of Burn Sunburn Follow-up of Minor Burn Injury Follow-up of Burn Injury Requiring Treatment Telephone or Telemedicine Visit for Burn Injury Debridement of Non-thermal Burn Cerumen Removal Cerumen Removal with Irrigation and Instrumentation Cerumen Impaction Partially Removed Cerumen Removal Cerumen Removal with an Evaluation and Management Service Cardiac Conditions Multisystem Inflammatory Syndrome in Children (MIS-C) Follow-up Electrocardiography with Purchased Professional Component Pericardiocentesis Office Visit for Family History of Ventricular Tachycardia Circumcision Circumcision with Evaluation and Management Service Circumcision with Lysis of Adhesion Circumcision with Complication Post-circumcision Cellulitis Circumcision With Physician Supervision Clinical Staff/Nurse Services Development Screening by Clinical Staff Tuberculin Skin Test Reading a Tuberculin Skin Test Nurse Care Coordinator Telemedicine 99211 Concussion Complexity of Problem for Concussion Diagnosis Coding: Concussion Follow-up Electronically-administered Concussion Test Congenital Conditions Ligature of Accessory Digits Neonatal Ear Molding Ultrasound for Congenital Hip Dysplasia Contraception Complexity of Problem for Contraception Services Contraceptive Injection Contraceptive Prescription at Preventive Medicine Visit Contraceptive Prescribed as Treatment Depression Complexity of Problems: Depression and Anxiety Reporting a Positive Depression Screening Follow-up of Depression and Other Chronic Condition Depression and Complexity of Problem Eating Disorders and M