In This Issue
Non–face-to-face Care Options in 2014
Over time, several codes have been added to Current
Procedural Terminology (CPT®) to
recognize services to patients that do not occur in a face-to-face
visit. The latest of these are complex chronic care coordination
(C4), transitional care management (TCM), and interprofessional
consultations. Each type of non–face-to-face service represents
an episode of care ranging from a brief contact to a service that
addresses the patient’s overall complex health care needs
in a calendar month. Certain procedure codes now represent combined
face-to-face and non–face-to-face services, while others
specifically exclude them. With substantial changes to some of these services
introduced in CPT 2014, it may be useful to review
these codes and compare the options for reporting non–face-to-face services.
Table 1 includes a column providing some typical characteristics
of patients who receive each type of non–face-to-face service
to show how the complexity of the patient’s condition(s), place
of residence, and other factors help to determine the appropriate
code for reporting these services. Please see CPT 2014 for
full code descriptors and instructions.
Non--face-to-face inter-facility transport supervision and initial-day critical care of a neonate provided by the same physician, needle puncture to drain an abscess, type 2 national provider identifier (NPI) with a type 1 NPI nurse practitioner, and relative value unit (RVU) credit for remote consultation to physician by phone or Internet
Transitioning to 10: Documentation and Coding of Otitis Media
Preparing for ICD-10-CM using common conditions, dual coding, and a table of documentation elements
A Refresher on Moderate (Conscious) Sedation Services
Increasing coding and documentation requirements with increasing depth of sedation and intensity of monitoring for sedation, analgesia, and anesthesia 99143-99150, includes decision tree
AAP Pediatric Coding Newsletter™, March 2014 Quiz (Online Exclusive)
Quiz for AAPC Continuing Education Units
Note: Given the relative frequency with which code and valuation revisions occur, some AAP Pediatric Coding Newsletter™ Online archived articles may not reflect the most current information available. While we make every effort to update articles or retire those no longer relevant, the volume and frequency of code and valuation revisions may result in some archived material being temporarily out of date.
Because the American Academy of Pediatrics (AAP) is not able to verify the accuracy of the facts relating to a patient encounter, we cannot be held responsible for any coding decisions that you make based on the guidance you receive from the AAP. It is your responsibility to only code for what you do during a patient encounter.