Coding for Pediatrics 2026

Table of Contents:
Foreword Acknowledgments Quick Reference to 2026 CPT® Pediatric Code Changes How to Use This Manual Coding for Pediatrics 2025 Road Map PART 1. CODING BASICS AND BUSINESS ESSENTIALS Chapter 1 The Basics of Coding Chapter 2 Coding Edits and Modifiers Chapter 3 Coding to Demonstrate Quality and Value Chapter 4 The Business of Medicine: Working With Current and Emerging Payment Systems Chapter 5 Preventing Fraud and Abuse: Compliance, Audits, and Paybacks Chapter 6 Evaluation and Management Documentation Guidelines PART 2. PRIMARILY FOR THE OFFICE AND OTHER OUTPATIENT SETTINGS Chapter 7 Non-Preventive Evaluation and Management Services in Outpatient Settings Chapter 8 Preventive Services Chapter 9 Indirect Management of Chronic and Complex Conditions Chapter 10 Mental and Behavioral Health Services Chapter 11 Common Testing and Therapeutic Services Chapter 12 Nonphysician Qualified Health Care Professional Services Chapter 13 Surgery, Infusion, and Sedation in the Outpatient Setting PART 3. PRIMARILY FOR HOSPITAL SETTINGS Chapter 14 Emergency Department Services Chapter 15 Hospital Care of the Newborn Chapter 16 Noncritical Hospital Evaluation and Management Services Chapter 17 Critical and Intensive Care Chapter 18 Common Surgical Procedures and Sedation in Facility Settings PART 4. DIGITAL MEDICINE SERVICES Chapter 19 General Telemedicine Coding and Documentation Concepts Chapter 20 Outpatient Telemedicine and Online Digital Services Chapter 21 Remote Data Collection and Monitoring Services APPENDIXES I. Quick Reference to 2025 ICD-10-CM Pediatric Code Changes II. Pediatric Immunization Codes and Components III. Test Your Knowledge! Answer Key INDEXES Subject Index Code Index AAP/Bright Futures “Recommendations for Preventive Pediatric Health Care” (Periodicity Schedule) .

About the Author :
The AAP Committee on Coding and Nomenclature (COCN) is responsible for reviewing all proposed changes to CPT and ICD-10-CM coding structures to determine whether the Academy will endorse the proposal; participates in the American Medical Association/Specialty Society Relative Value Scale Update Committee's (RUC) survey process by validating clinical vignettes, evaluating survey data, and deciding on physician work and practice expense relative value units (RVUs) to recommend to the RUC; and serves as a review panel regarding other activities such as identifying Academy positions on the RBRVS. The COCN also monitors the Medicare RBRVS physician fee schedule and its adoption by private and public payers. To update pediatricians on its activities, including the formal publication of new and revised CPT and ICD-10-CM coding structures and final values for CPT codes used by pediatricians, pediatric medical subspecialists, and pediatric surgical specialists, the COCN publishes periodic articles in AAP News along with a monthly coding column called Coding ​Corner.