Coding

Correct coding helps ensure that a practice receives payment for vaccines given to patients. ACOG has published a coding guide solely focused on immunization: Immunization Coding for Obstetrician-Gynecologists 2013 and a quick glance guide for frequently used immunization codes.

Proper coding means being sure that the code selected is appropriate as follows:

  • The code represents the most accurate description of “what” was performed and “why” it was performed consistent with coding conventions and guidelines.
  • The code is supported by documentation in the medical record
  • The Current Procedural Terminology (CPT) coding guidelines state that the code selected must be the most accurate description of the service provided and be consistent with coding conventions and guidelines. Individuals responsible for coding should carefully review their coding books, including any coding guidelines, notes, instructions, or other explanatory statements. These may be printed under subsections, headings, subheadings, or before and after codes. The physician also should know the bundling and unbundling rules used by CPT, commercial payers, and the Centers for Medicare & Medicaid Services.

ICD-10 Implementation
The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), implementation in the United States has been delayed due to congressional action until October 1, 2015. ACOG believes Fellows need to remain prepared for this change, and will continue to provide resources such as workshops, newsletters, and alerts regarding the new timeline. As additional updates and resources regarding this change become available, they will be posted at the link below. 

ACOG’s ICD-10 Coding Information Section

ACOG Coding Quick Glance Guides: (scroll past physician script to reach coding information)

Click here to register for ACOG’s coding e-newsletter.

To learn more about Coding, visit ACOG’s Coding and Immunization Coding Resources pages. Email coding@acog.org with additional questions. If you are an ACOG Fellow, please include your membership identification number in your email inquiry. 

 

This website is supported by an independent educational grant from Merck and an educational grant from Sanofi Pasteur U.S. 
ACOG does not allow companies to influence its programs, publications, or advocacy positions.