This year's completely updated 31st edition of Coding for Pediatrics includes all changes in Current Procedural Terminology (CPT®) codes—complete with expert guidance for their application. The 31st edition is based on the 2026 Current Procedural Terminology code changes and additions with guidelines for their application. KEY UPDATES
CPT 2026 code updates
Coding for immunization counseling when immunization(s) is not administered
Appropriate use of new codes for immunization products and administration
Reporting <20 minutes spent in monthly remote physiologic monitoring treatment management
New codes for orthopedic and neurologic services
Updated compliance program guidance with examples for small and large practices
Coding for Pediatrics 2026 is divided into the following parts:
Part 1: Coding Basics and Business Essentials includes information on code sets, compliance, and business topics such as billing and payment methodologies.
Part 2: Primarily for the Office and Other Outpatient Settings includes information on coding and billing of services such as office visits, outpatient consultations, and preventive services.
Part 3: Primarily for Hospital Settings includes information on coding for inpatient and observation services, including newborn care and surgical procedures.
Part 4: Digital Medicine Services includes discussion of the evolving codes for reporting telemedicine services and remote monitoring and interpretation of patient data.
Appendixes include
o Quick Reference to 2025 ICD-10-CM Pediatric Code Changes
o Test Your Knowledge! answer key
Supplemental material is provided online, accessible with an access code, including a general documentation checklist, tracking worksheets for chronic care management, and care plan oversight services. A continuing education quiz to earn 4.0 continuing education units from the American Academy of Professional Coders is also available online.
Edited by:
American Academy of Pediatrics Committee on Coding and Nomenclature
Imprint: American Academy of Pediatrics
Country of Publication: United States
Edition: 31st Edition
Dimensions:
Height: 276mm,
Width: 213mm,
ISBN: 9781610028363
ISBN 10: 1610028368
Pages: 565
Publication Date: 24 November 2025
Audience:
Professional and scholarly
,
Undergraduate
Format: Paperback
Publisher's Status: Forthcoming
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) .
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.
