Coding references
Pediatrics: the codes and the rules.
Three tables for a pediatric practice, each one a coder can check against the 2025 CMS and ICD-10-CM files, and the notes that come up every week.
The tables.
The notes a coder repeats.
- A sick complaint addressed at a well visit is a separate E/M with modifier 25 when it is significant and documented separately.
- Immunization administration with counseling (90460, 90461) is counted per component of each vaccine, through age 18, when the physician counsels the family.
- Preventive visit codes have no listed work RVU here; the practice's fee schedule sets them, and Medicaid plans publish their own.
Other specialties.
A receptionist that knows pediatric calls.
Screening forms your clinicians approve, the on-call paged with answers, and every call booked or handed back as a task.