Pediatrics Articles and Resources
News and Important Information2019 Coding and Reimbursement Tip Sheet for Transition from Pediatric to Adult Health Care Code SetsCPT CodesCPT Procedure Codes ICD-10-CM CodesICD-10-CM Diagnosis Codes CVX Vaccines CodesCVX Vaccines Codes Find-A-Code's Tools & ResourcesClick-A-Dex™Click-A-Dex™ Index Search Tool Build-A-CodeStep-by-step coding from all major code sets. NCCI Edits ValidatorValidate using NCCI edits for errors in code selection. Pro-Fee CalculatorVerify Medicare Reimbursement and UCR Fees for Professional Services Commercial Payer PoliciesView Clinical Indications for Medical necessity on procedures, Suggested Code Selection to assist your clinical judgment includes citations. Find-A-NPI™Find-A-NPI™ Fast Provider Lookup Additional Links and ResourcesDrugs and Biologicals Pub-100 Ch 17Drugs and Biologicals Pub-100 Ch 17 Commonly Administered Pediatric VaccinesAmerican Academy of Pediatrics Billing Requirements for OPPSBilling Requirements for OPPS Providers with Multiple Service Locations American Academy of PediatricsCoding at the AAP Standard Written Order (SWO)Dates of Service on or After January 1, 2020 Select the title to see a summary and a link to the full article. December 22nd, 2020 ICD-10-CM 2021 Codes for your Specialty| Published December 22nd, 2020
16. Certain conditions originating in the perinatal period (P00-P96)
Code: Description:P91.821 Neonatal cerebral infarction, right side of brainP91.822 Neonatal cerebral infarction, left side of brainP91.823 Neonatal cerebral infarction, bilateralP91.829 Neonatal cerebral infarction, unspecified side
... December 22nd, 2020 ICD-10-CM 2021 Codes for your Specialty| Published December 22nd, 2020
6. Diseases of the nervous system (G00-G99)
Code: Description: G11.10 Early-onset cerebellar ataxia, unspecifiedG11.11 Friedreich ataxiaG11.19 Other early-onset cerebellar ataxiaG40.42 Cyclin-Dependent Kinase-Like 5 Deficiency DisorderG40.833 Dravet syndrome, intractable, ... December 22nd, 2020 ICD-10-CM 2021 Codes for your Specialty| Published December 22nd, 2020
4. Endocrine, nutritional and metabolic diseases (E00-E89)
Code: Description:E70.81 Aromatic L-amino acid decarboxylase deficiencyE70.89 Other disorders of aromatic amino-acid metabolismE74.810 Glucose transporter protein type 1 deficiencyE74.818 Other disorders of glucose transportE74.819 ... August 10th, 2020 Modifier 50 — Four "Must Know" Tips For Getting Paid| Published August 10th, 2020 Modifiers added to an HCPCS or CPT© code alters the code description, providing clarity about the service for proper claim processing and reimbursement. Here are four things you must know about modifier 50 to ensure proper payment. - Modifiers are either informational or payment related. Informational modifiers provide additional... July 14th, 2020 Are NCCI Edits and Modifiers Just for Medicare?| Published July 14th, 2020 The National Correct Coding Initiative (NCCI) edits were developed by CMS to help promote proper coding and control improper coding that leads to incorrect payments with part B claims. It is important to understand that NCCI edits do not include every possible code combination or every type of un-bundling combination. With that ... March 26th, 2020 LATEST COVID-19 INFORMATION FOR BILLING NON-FACE-TO-FACE SERVICES| Published March 26th, 2020 Healthcare providers and the population at large are concerned about safe access to care considering the COVID-19 pandemic. As a result, we have received many inquiries this week about how to bill for “telehealth” services.
Let’s first address that true telehealth services have some pretty stringent requirements from CMS, including that ... October 1st, 2019 Do ICD-10 Updates Have Your Heart Beating Irregularly? Check Out the New Atrial Fibrillation Codes| Published October 1st, 2019 Atrial fibrillation (AF) is the most common type of abnormal heart rhythm (arrhythmia). It is caused by a disorder in the heart’s electrical system. AF is the result of abnormal contractions of the atria (upper two chambers of the heart) causing them to quiver and beat out of sync with ... September 30th, 2019 Vaccine Administration - When The Right Vaccine Code is Not Enough| Published September 30th, 2019 Understanding how to apply immunization administration codes properly will support correct reimbursement for vaccinations. Reporting the right vaccine code alone is not enough to guarantee proper billing. The majority of the time, providers can charge for the vaccine/product as well as the administration of the vaccine; always consult your payer ... August 16th, 2019 Medical ID Theft| Published August 16th, 2019 - Last Review/Update August 20th, 2019 Medical ID Theft
"So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ... August 9th, 2019 The OIG Work Plan: What Is It and Why Should I Care?| Published August 9th, 2019 - Last Review/Update August 14th, 2019 The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ... July 12th, 2019 5 Ways to Minimize HIPAA Liabilities| Published July 12th, 2019 - Last Review/Update July 30th, 2019 Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability.
Take ... June 18th, 2019 How to Properly Report Monitoring Patients Taking Blood-thinning Medications| Published June 18th, 2019 - Last Review/Update June 19th, 2019 Codes 93792 and 93792, which were added effective January 1, 2019, have specific guidelines that need to be followed. This article provides some guidance and tips on properly reporting these services. March 18th, 2019 How to Report Imaging (X-Rays) of the Thumb| Published March 18th, 2019 If you've ever taken piano lessons, you know that the thumb is considered the first finger of the hand. Anatomically, it is also referred to as the first phalanx (finger). However, when you are coding an x-ray of the thumb, images are captured of the thumb, hand, wrist, and all ... January 4th, 2019 Nine New Codes for Fine Needle Aspirations (FNA) in 2019| Published January 4th, 2019 If your practice performs a lot of fine needle aspirations (FNA), you probably have the code options memorized (10021 without image guidance and 10022 with image guidance). However, the 2019 CPT codes now include nine (9) new FNA codes (10004-10012), one deleted FNA code (10022) and one revised FNA code ... There are more articles. View all articles... View articles for the current specialty by subtopic: Select the webinar title to view a summary and link to the webinar video. January 4th, 2018 Proper Coding and Billing for Drugs, Biologicals and InjectionsProper Coding and Billing for Drugs, Biologicals and Injections February 2nd, 2017 How to Check NCCI Edits Using FindACodeHow to Check NCCI Edits Using FindACode Advanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolBilateral Surgeries: Claim SubmissionCommonly Used Medicare Modifiers - GA, GX, GY, GZMedicare Part B Clinical Laboratory Fee ScheduleNoridian Diabetes PoliciesNoridian Fee-for-Time Compensation Arrangements and Reciprocal Billing PoliciesNoridian Mental Health PoliciesNoridian: Allowed Amount ReductionsPhysician Assistant (PA) Resources NoridianSummary of the HIPAA Privacy Rule by HHS ICD-10-CM Resources for PediatricsSelect the podcast title to view a summary and link to the podcast. August 25th, 2020 Do You Have All the Right Dental Resources Needed to Succeed in Dental Medical Billing and Coding?Discussion with LaMont Leavitt (CEO of innoviHealth) and Christine Taxin (Adjunct professor at New York University, President of Dental Medical Billing, and Links2Success).
Some of the resources and tools they discuss will help you with your dental coding/billing and education.
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