The Pediatric Coding Professional: A Comprehensive Training Program
Pediatric coding brings together services that do not fit neatly into one workflow. A well-child visit may include screenings or a separately documented problem, while office E/M, vaccine administration, and newborn care each have different reporting rules. This course helps experienced coders work through those differences using pediatric documentation from the newborn period through adolescence. We will review E/M services, preventive visits, immunizations, inpatient and critical care, developmental and behavioral screening, office procedures, telehealth, and care management. The focus is on the services the provider actually documented, the applicable age-based and CPT requirements, and the difference between a documentation question and a code-selection question.
Webinar Objectives
- Recognize age-based coding requirements and pediatric visit components.
- Follow documented E/M work, preventive care, screenings, and vaccine administration.
- Distinguish separately reportable services from those already included in the encounter.
- Recognize documented developmental and clinical information without making clinical judgments.
- Find the passages in pediatric visits and procedures that support a proposed CPT code.
- Distinguish separately reportable work from services already included in another code.
- Use current CPT instructions, coding guidance and applicable edits to check code selection.
- Recognize missing, unclear or conflicting details that could affect coding accuracy.
- Know when a physician clarification is needed and when the existing record is sufficient.
- Explain coding decisions clearly to providers and clinical staff using the documented work.
Format & Logistics
Important Disclaimers
This course is for educational purposes only and does not constitute legal, compliance, or professional advice. Always consult your organization's legal counsel, compliance officer, or payer-specific guidance before applying any coding, billing, or documentation practice discussed here.
CPT® is a registered trademark of the American Medical Association (AMA). Healthcare Inspired is not affiliated with or endorsed by the AMA.
This course does not offer CEU credit on its own. HCi members have access to separate CEU-eligible live webinars and events as part of their membership, and this specialty course is included in qualifying HCi membership tiers.
Module 1: Foundations of Pediatric Documentation Analysis
Lesson 1.1: Your Role in Pediatric Coding
Lesson 1.2: Reading the Visit Note
Lesson 1.3: Age-Based Rules and Terms
Lesson 1.4: Preventive and Problem Care in One Visit
Lesson 1.5: Researching Pediatric Codes
Module 2: Pediatric Office & Outpatient E/M Documentation
Lesson 2.1: New and Established Patients
Lesson 2.2: MDM or Time
Lesson 2.3: Problems Addressed
Lesson 2.4: Data Reviewed and Analyzed
Lesson 2.5: Risk of Patient Management
Lesson 2.6: Total Time and Prolonged Services
Module 3: Preventive Medicine & Well-Child Visit Documentation
Lesson 3.1: What Preventive Visits Include
Lesson 3.2: Age Bands and Patient Status
Lesson 3.3: Screenings
Lesson 3.4: Problems and Modifier 25
Lesson 3.5: Diagnosis Coding
Module 4: Immunization & Vaccine Counseling Documentation
Lesson 4.1: Products and Documentation
Lesson 4.2: Administration With Counseling
Lesson 4.3: Without Counseling and Components
Lesson 4.4: VFC and Visits
Module 5: Newborn, Hospital & Critical Care Documentation
Module 5 Overview: Newborn, Hospital & Critical Care Documentation
Module 6: Developmental, Behavioral & Screening Services Documentation
Module 6 Overview: Developmental, Behavioral & Screening Services Documentation
Module 7: Pediatric Office Procedures & Testing Documentation
Module 7 Overview: Pediatric Office Procedures & Testing Documentation
Module 8: Telehealth, Care Management & After-Hours Services
Module 8 Overview: Telehealth, Care Management & After-Hours Services
Module 9: Documentation Support, Coding Compliance & Physician Communication
Module 9 Overview: Documentation Support, Coding Compliance & Physician Communication
Module 10: Advanced Pediatric Documentation Analysis & Practical Application
Module 10 Overview: Advanced Pediatric Documentation Analysis & Practical Application