CPT 2006: After-hours, neonatal, and more good news for pediatricians

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes selected CPT 2006 updates relevant to pediatricians. It covers changes to after-hours and emergency service reporting, neonatal/intensive care coding, new infusion and injection codes, and revisions affecting evaluation and management and nursing facility services. The discussion is useful for pediatric coders, billing staff, and physicians who need a high-level view of what changed and where payer acceptance may affect reimbursement.

Why This Topic Matters

The article highlights coding updates that can affect how pediatric services are captured and reimbursed, particularly for nonstandard visit times, neonatal care, and commonly used infusion or injection services.

Article Sections

  1. After-hours service code updates

    Discusses CPT 2006 updates related to after-hours, emergency, and out-of-office service reporting. The section focuses on clarifications and additions affecting office-based and facility-based care.

  2. Neonatal and evaluation and management changes

    Summarizes CPT 2006 changes involving neonatal intensive care and evaluation and management updates. It places these revisions in the context of pediatric practice.

  3. Injection and infusion code changes

    Covers new and revised injection and infusion reporting updates introduced for 2006. The section emphasizes changes that are especially relevant to pediatric billing.

  4. Deleted and revised consult and nursing facility codes

    Notes the removal of several consult and nursing facility code groups and mentions broader changes to nursing facility services. The section provides a transition summary of affected code categories.

What You Will Learn

  • What CPT 2006 changed for pediatric after-hours and emergency service reporting
  • How neonatal and evaluation and management updates are grouped in the article
  • Which infusion and injection coding updates are discussed
  • Which consult and nursing facility code categories were removed or revised
  • Why these CPT updates are relevant to pediatric billing and reimbursement

Who Should Read This

  • Pediatricians
  • Pediatric coders
  • Medical billing staff
  • Practice managers
  • Revenue cycle teams

Codes Discussed

Code Ranges Discussed

  • CPT: 99261–99263
  • CPT: 99271–99275
  • CPT: 99301–99303
  • CPT: 99311–99313
  • CPT: 99321–99323
  • CPT: 99331–99333

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