Coding Resources

Office E/M 2021 

• 2021 Office Evaluation and Management Questions Answered 
• Beyond 2020: Office and Other Outpatient and Evaluation and Management Coding 
• An Overview of Evaluation and Management Changes for 2021 
• An Overview of Medical Decision-making
• An Overview of Time-Based Code Selection
• Determining Levels of Amount and/or Complexity of Data
• Determining the Data Element of Medical Decision-making 
• Determining the Level of Medical Decision-making
• Determining the Level of Risk
• Determining the Number and Complexity of Problems Addressed
• Evaluation and Management Codes: A Work in Progress 
• Examples of Risk in Determination of Overall Medical Decision-making
• Level 2 Visits 
• Level 3 Visits 
• Level 4 Visits 
• Level 5 Visits
• The Why and How of Changes to Office and Other Outpatient Evaluation and Management Services

Payer Appeal Letters for Claims Denial

• MMR and Varicella Claims Processing
• Perinatal ICD-10-CM Age Edits
• Well/Sick Same Day
• Increasing Access to Mental Health Care
• Cerumen Removal & E/M
• Diagnosis Code/Age Edits
• Hearing Screen
• Immunization Administration and Counseling Requirements
• Initial Day NB Coding with Attendance or Resuscitation
• Injection (96372) & E/M
• Newborn Bundling
• Reporting 99211 for PPD Reading
• Vision Screen
• Modifier 25

Payment, Financing, and Waiver Information

• The Business Case for Pricing Vaccines
• Oops, We Overpaid You: How to Respond to Payer Audits 
• Template Letter to Carrier Requesting Repayment
• Vaccine Financing/Payment
• Waivers: The Basics for the Pediatric Office
• Talking Points on Vaccines
• RBRVS: What Is It and How Does It Affect Pediatrics?
• RBRVS Conversion Spreadsheet
• History of Medicare Conversion Factors

Fact Sheets and Quick Reference

• ADHD Coding
• Codes for Counseling, Initiation, and Surveillance for Specific Methods of Contraception
• Coding for Pediatric Preventive Care/Bright Futures
• Substance Use Coding Fact Sheet
• Inattention, Impulsivity, Disruptive Behavior and Aggression 
• Vaccine Coding Table
• FAQ - Pediatric Immunization Administration Codes

Tools and Forms

• Template Encounter Form: Complex Chronic Care Coordination
• ICD Request Form

Helpful Coding Links

• Policy Statement: Pediatric Application of Coding and Valuation Systems (2019)
• AAP Committee on Coding and Nomenclature
• Practice Management