Pediatric coding guidelines
[DOC File]Home | AAP Pediatric Coding Newsletter | AAP Point-of-Care ...
https://info.5y1.org/pediatric-coding-guidelines_1_a826c8.html
CPT guidelines state that “the initial day neonatal critical care code can be used in addition to 99464 or 99465 as appropriate, when the physician is present for the delivery (99464) or resuscitation (99465) is required.” (CPT 2012, AMA Professional Edition, page 39). Further, there are . no
[DOCX File]American Academy of Pediatrics
https://info.5y1.org/pediatric-coding-guidelines_1_f8bdb1.html
Inappropriate bundling and non-payment adversely impacts the financial viability of the practice by reducing payment for services provided. Additionally, inappropriate bundling is counter to correct coding guidance. Payers who ignore correctly applied coding guidelines and CPT modifiers inappropriately underpay physicians for the services ...
[DOC File]WELL CHILD/PEDIATRIC AND ADOLESCENT
https://info.5y1.org/pediatric-coding-guidelines_1_ede3dc.html
WELL CHILD/EPSDT . PEDIATRIC AND ADOLESCENT . PREVENTIVE HEALTH GUIDELINES. Purpose/Policy. The purpose of the Well Child/Pediatric and Adolescent Preventive Health Care program is to provide Comprehensive Health and History screening and assessment of the physical, mental, and social well being of children birth through 20 years of age.
[DOC File]Child Health Services/Early and Periodic Screening ...
https://info.5y1.org/pediatric-coding-guidelines_1_47f7a2.html
Other coding information found in the chart: 1 Exempt from PCP referral requirements. 2 Covered when specimen is referred to an independent lab. Electronic and paper claims require use of modifiers. When filing paper claims for a Child Health Services (EPSDT) screening service, the applicable modifier must be entered on the claim form.
[DOCX File]Pediatric Preventive Health Guidelines
https://info.5y1.org/pediatric-coding-guidelines_1_67dcff.html
Pediatric Preventive Health Guidelines ... Coding results of screening will depend on the result of the screening. G9919: Screening performed and positive and provisions of recommendations (4 and greater) G9920: Screening performed and negative (0 to 3) ...
[DOC File]Home | AAP Pediatric Coding Newsletter | AAP Point-of-Care ...
https://info.5y1.org/pediatric-coding-guidelines_1_e1a104.html
CPT guidelines state that “99464 may be reported in conjunction with 99460, 99468, 99477.” (CPT 2012, AMA {professional edition}, page 38). CPT has also further clarified by way of a CPT Assistant article (March 2009/Volume 19 Issue 3, page 3), that “it is (emphasis added) appropriate to report code 99465 in addition to codes 99460, 99468 ...
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