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Pediatric Coding Basics: An Introduction to Medical Coding

By American Academy of Pediatrics Committee on Coding and Nomenclature
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Pediatric Coding Basics was developed for pediatric health care professionals who are new to coding or have taken on additional coding responsibilities in their practice.

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  1. Page vii
    Welcome and Overview
  2. Page 1
    1. Introduction to Medical Coding
    1. Page 3
      Introduction to Medical Coding
    2. Page 6
      Getting Paid
    3. Page 6
      Documentation and Coding
    4. Page 7
      Code Assignment
    5. Page 9
      Coding Keys
    6. Page 11
      Resources
    7. Page 13
      Coding Challenge
  3. Page 15
    2. Diagnosis Coding
    1. Page 17
      Diagnoses
    2. Page 17
      Internatinal Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
    3. Page 20
      ICD-10-CM Tips
    4. Page 23
      Code Selection
    5. Page 27
      Reporting ICD-10-CM Codes
    6. Page 29
      Coding Keys
    7. Page 30
      Resources
    8. Page 31
      Coding Challenge
  4. Page 33
    3. Current Procedural Terminology®
    1. Page 35
      Coding Professional Services
    2. Page 35
      Current Procedural Terminology (CPT) Categories, Sections, and Codes
    3. Page 42
      The CPT Codebook
    4. Page 46
      Selecting Codes
    5. Page 48
      General Tips and Principles for Reporting CPT Codes
    6. Page 50
      Coding Keys
    7. Page 51
      Resources
    8. Page 52
      Coding Challenge
  5. Page 53
    4. Healthcare Common Procedure Coding System and National Drug Codes
    1. Page 55
      Healthcare Common Procedure Coding System (HCPCS)
    2. Page 55
      HCPCS Codes
    3. Page 56
      Using a HCPCS Manual
    4. Page 62
      HCPCS Coding Instructions
    5. Page 63
      National Drug Codes (NDCs)
    6. Page 65
      Coding Keys
    7. Page 66
      Resources
    8. Page 67
      Coding Challenge
  6. Page 69
    5. Coding Assignment and Billing Processes
    1. Page 71
      Codes Tell the Encounter Story
    2. Page 75
      An Overview of the Billing Process
    3. Page 82
      Coding Keys
    4. Page 83
      Resources
    5. Page 84
      Coding Challenge
  7. Page 85
    6. Health Plan Policies and Coding Compliance
    1. Page 87
      Covered Services
    2. Page 88
      Coding Compliance
    3. Page 89
      Code Edits
    4. Page 94
      Modifiers
    5. Page 96
      Global Period Edits
    6. Page 97
      Codes and Payment Policies
    7. Page 99
      Coding Keys
    8. Page 100
      Resources
    9. Page 102
      Coding Challenge
  8. Page 112
    Appendix A: Coding Challenge Answer Key
  9. Page 113
    Appendix B: Glossary of Common Coding Acronyms
  10. Page 117
    Appendix C: History of Medical Payment
  11. Page 123
    Appendix D: Certificate of Completion
  12. Page 127
    Index

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