Pediatric Coding Alert
Correction
Stay tuned: The CF for 2006 of 36.1770 may be short-lived. Because the U.S. Congress did not pass legislation to freeze the CF at 2005's rate of 37.8975 " or to alter the rate " the decreased rate became effective Jan. 1. When Congress reconvenes this winter, the Senate and House will have to sort out their budget bill disagreements, which include a possible 1 percent rate hike that would offset the CMS current rate cut of 4.4 percent for 2006.
Pediatric Coding Alert
- Your Admission Interpretation Could Limit Your Assess-and-Discharge Code Use
Secret: Look to exam, discharge date - not birth date - when assigning 99435 Despite [...] - Appeal Modifier -25 Denials After You Take These 4 Steps
Solid chart note and payer's rule will help you win payment What should you do [...] - You Be the Coder:
How to Code a 'Walk-out' Annual Exam
Question: A 16-year-old girl presents for a well-child preventive medicine service with a school form [...] - Refresh Your Winter-Germ Detection Filing Skills
This chart helps you get the right 80000 series code for over 20 in-office test [...] - Reader Questions:
Nebulizer, Vaccine Include Inherent Supply
Question: May a pediatrician's office bill a syringe code with a vaccine administration code to [...] - Reader Questions:
You May Count Nurse Administration as 90465
Question: If a pediatrician provides the counseling and steps out of the room during the [...] - Reader Questions:
2 Steps Combat E-Code Rejections
Question: Is it important that I use the E codes? Insurers keep rejecting claims that [...] - Correction:
Tots N Teens Is in Hoffman Estates
The December 2004 Pediatric Coding Alert article "What Flu-Shot Component Is Costing You Dollars? Here's [...] - Reader Questions:
CPT Proves Rep's New Patient Definition Wrong
Question: A provider insurance representative recommended at an in-house seminar that when our pediatricians see [...] - Reader Questions:
Check 3 Details Before Appealing Rocephin Denial
Question: An insurer denied a Rocephin shot that I reported as JO696 with a diagnosis [...] - Correction
Correction: The January 2006 Pediatric Coding Alert article "Update Neonatal Care Continuum With New High-Paying [...]
