Other Pediatric Practice Resources

PCC's subject matter experts, including Jan Blanchard (CPC, CPEDC), host frequent web labs about pediatric practice management, billing, coding, and other topics. If you are a PCC client, you can sign up to attend one.

Upon completion of encounters, a clinician selects billing codes. They often select an “Evaluation and Management” or E&M code, either for new or established patients. This is sometimes called the “office visit” code. E&M code selection is based on medical decision making and the amount of time spent. This article collects resources and guidelines for E&M office visits, with some tips on implementation in PCC EHR.

In January of 2011, immunization administration CPT codes changed. The administration w/ counseling codes that pediatricians used previously (90465-90468) became invalid for billing. Two new codes (90460 and 90461) replaced them, and the replacement includes a change in the coding method, from per-shot to per-antigen.

On October 1, 2015, insurance payers stopped accepting ICD-9 diagnosis codes for most claims and now require ICD-10. PCC created educational offerings about ICD-10, many of which are still useful years later.

How are SNOMED-CT and ICD-10 used in PCC's products and services? Where will you see each taxonomy, and will you still see ICD-9 in your patient records? This article provides a basic overview of how these different code sets appear in PCC.

Partner supports the American Medical Association's CPT II code specification, a subset of the standard CPT codes used for procedures.