As of January 1, 2026, we get to enjoy three landmark CPT codes—90482, 90483, and 90484—specifically designed to capture the clinical effort involved in immunization counseling when a vaccine is not administered during the same visit (thank you to th...
A couple of years ago, Dr. Ari Brown posted on SOAPM that she could offer discounts to pediatricians who wanted to purchase copies of her book Baby 411 (or Toddler 411 or Expecting 411). I asked her to send that information when the next version is r...
Welcome to the free 2026 RVU Calculator. As you may know, the AMA won’t let anyone freely distribute an RVU calculator that includes CPT codes without signing a limiting and expensive licensing agreement. In an abundance of caution and, because in ou...
Every year, I review the latest RVU release to understand how the changes will affect my clients and other independent pediatric practices - you can see my pediatric comparison here. Since 2020, it's been a somewhat muted endeavor because all the pay...
Every year, I analyze the impact of the RVU changes on pediatricians. Why? Because what the Feds do each year has a profound, downstream effect on pediatricians. Going through this process is also how I figured out what was happening with immunizatio...
By now, you have heard of CIGNA's announcement to begin automatically downcoding E&M claims based on ICD-10 alone and not physician notes, etc. I don't believe for a second that this decision has anything to do with capturing code fraud and has e...
I have a lot to share, suddenly. Details about The Great Downcoding (AETNA!), the 2026 RVU values, oh - and my new podcast. But this news is more timely.
