There are several types of coding errors that commonly occur in pediatric practices:
1. Upcoding: This involves coding for a more severe diagnosis or procedure than was actually provided to receive higher reimbursement. 2. Downcoding: This occurs when the services provided are coded at a lower level than actually performed, leading to reduced reimbursement. 3. Incorrect CPT or ICD Codes: Using incorrect Current Procedural Terminology (CPT) or International Classification of Diseases (ICD) codes can lead to claim denials or delays. 4. Unbundling: This involves separating a bundled service into multiple codes, which can lead to overcharging. 5. Use of Outdated Codes: Using outdated or obsolete codes can result in claim rejections.
