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Coding for Pediatrics 2027

Editat de American Academy of Pediatrics Committee on Coding and Nomenclature
en Limba Engleză Paperback – 24 noi 2026

This year's completely updated 32nd edition of Coding for Pediatrics includes all changes in Current Procedural Terminology (CPT®) codes—complete with expert guidance for their application. The 32nd edition is based on the 2027 Current Procedural Terminology code changes and additions with guidelines for their application.

Coding for Pediatrics 2027 is divided into the following parts:

Part 1: Coding Basics and Business Essentials includes information on code sets, compliance, and business topics such as billing and payment methodologies.

Part 2: Primarily for the Office and Other Outpatient Settings includes information on coding and billing of services such as office visits, outpatient consultations, and preventive services.

Part 3: Primarily for Hospital Settings includes information on coding for inpatient and observation services, including newborn care and surgical procedures.

Part 4: Digital Medicine Services includes discussion of the evolving codes for reporting telemedicine services and remote monitoring and interpretation of patient data.

Key Updates

  • CPT 2027 code additions and updates
  • Enhanced examples showing appropriate linkage of diagnosis and procedure codes
  • Coding for lactation counseling provided under a physician's direction
  • Reporting autonomic nervous system testing with new and revised codes
  • Physician practice compliance guidance for the No Surprises Act
  • Compliant documentation using augmented or artificial intelligence

Appendixes include

o Quick Reference to 2025 ICD-10-CM Pediatric Code Changes.

o Test Your Knowledge! answer key

Supplemental material is provided online, accessible with an access code, including a general doc.

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Specificații

ISBN-13: 9781610029117
ISBN-10: 1610029119
Pagini: 581
Dimensiuni: 213 x 276 mm
Ediția:32nd Edition
Editura: American Academy of Pediatrics

Notă biografică

The AAP Committee on Coding and Nomenclature (COCN) is responsible for reviewing of all proposed changes to Current Procedural Terminology (CPT) and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) coding structures to determine whether the Academy will endorse the proposal; participates in the American Medical Association/Specialty Society Relative Value Scale Update Committee (RUC) survey process by validating clinical vignettes, evaluating survey data and deciding on physician work and practice expense relative value units (RVUs) to recommend to the RUC; and serves as a review panel regarding other activities such as identifying Academy positions on the Medicare Resource-Based Relative Value Scale (RBRVS).


Cuprins

Foreword

Acknowledgments

Quick Reference to 2027 CPT® Pediatric Code Changes

How to Use This Manual

Coding for Pediatrics 2027 Road Map

Part 1. Coding Basics and Business Essentials

Chapter 1: The Basics of Coding

Chapter 2: Coding Edits and Modifiers

Chapter 3: Coding to Demonstrate Quality and Value

Chapter 4: The Business of Medicine: Working With Current and Emerging Payment Systems

Chapter 5: Preventing Fraud and Abuse: Compliance, Audits, and Paybacks

Chapter 6: Evaluation and Management Documentation Guidelines

Part 2. Primarily for the Office and Other Outpatient Settings

Chapter 7: Non-Preventive Evaluation and Management Services in Outpatient Settings

Chapter 8: Preventive Services

Chapter 9: Indirect Management of Chronic and Complex Conditions

Chapter 10: Mental and Behavioral Health Services

Chapter 11: Common Testing and Therapeutic Services

Chapter 12: Nonphysician Qualified Health Care Professional Services

Chapter 13: Surgery, Infusion, and Sedation in the Outpatient Setting

Part 3. Primarily for Hospital Settings

Chapter 14: Emergency Department Services

Chapter 15: Hospital Care of the Newborn

Chapter 16: Noncritical Hospital Evaluation and Management Services

Chapter 17: Critical and Intensive Care

Chapter 18: Common Surgical Procedures and Sedation in Facility Settings

Part 4. Digital Medicine Services

Chapter 19: General Telemedicine Coding and Documentation Concepts

Chapter 20: Outpatient Telemedicine and Online Digital Services

Chapter 21: Remote Data Collection and Monitoring Services

Appendixes

I. Quick Reference to 2026 ICD-10-CM Pediatric Code Changes

II. Test Your Knowledge! Answer Key

Indexes

Subject Index

Code Index

AAP/Bright Futures "Recommendations for Preventive Pediatric Health Care" (Periodicity Schedule)