Correctly coding your claims will help you get reimbursed appropriately for your services. Inaccurate coding can shortchange you, bog down your billing process, or even trigger an audit. Therefore, physician practices should check their coding practices and stay up to date on the latest coding policies. Here are some coding resources that you can use to code your claims correctly:
Coding for the HPV Vaccine
The Centers for Disease Control and Prevention's (CDC's) Advisory Committee on Immunization Practices (ACIP) voted unanimously in February 2015 to recommend the 9-valent human papillomavirus (HPV) vaccine (9vHPV) (Gardasil 9, Merck and Co., Inc.) as one of three HPV vaccines that can be used for routine vaccination. HPV vaccine is recommended for routine vaccination at age 11 or 12 years. ACIP also recommends vaccination for females aged 13 through 26 years and males aged 13 through 21 years not vaccinated previously. Vaccination is also recommended through age 26 years for men who have sex with men and for immunocompromised persons (including those with HIV infection) if not vaccinated previously Click here for HPV vaccine coding and other guidance from the AAP.
- CPT Code/Relative Value Search
- ADHD Coding Fact Sheet for Primary Care Clinicians
- Obesity and Related Co-Morbidities Coding Fact Sheet for Primary Care Pediatricians
- The Best Practice Principles of Coding
- Top 10 Underutilized CPT Codes in Pediatrics
- Index of CPT Codes for Medical Home
- Developmental Screening/Testing Coding Fact Sheet for Primary Care Pediatricians
- FAQ for Pediatric Immunization Codes
- Consultation Services (99241-99255)
AAP Coding Resources
- Please submit all coding questions to the AAP Coding Hotline firstname.lastname@example.org
- The AAP has a collection of coding resources listed on www.aap.org/coding. We encourage you to bookmark this page and refer to it as often as needed. Most are free resources or member benefit.
- Also, there is a collection of coding news articles from AAP News. There is a monthly column called “Coding Corner” so feel free to look over the past year’s articles: http://www.aappublications.org/collection/coding-corner
Disclaimer: This information is available to provide general education. It is provided with the understanding that Texas Pediatric Society is not engaged in rendering legal, medical, or other professional services. Although prepared by professionals, the information provided on this web site should not be utilized as a substitute for professional services.