STAT!Ref

STAT!Ref Announces: Title Change and Supplemental Updates

Title Change and New Edition:

Pediatric Injectable Drugs (The Teddy Bear Book) 9th Ed. 

©2010 American Society of Health-System Pharmacists 

Authors/Editors: Stephanie J. Phelps Pharm.D., BCPS, Emily B. Hak Pharm.D., BCPS, BCNSP, Catherine M. Crill Pharm.D., BCPS, BCNSP 

For nearly three decades, pharmacists treating newborns through adolescents have relied on Pediatric Injectable Drugs (the Teddy Bear Book) for evidence-based recommendations you can’t find anywhere else. 

Now, you can get this information in its most current and useful form. The ninth edition of this trusted resource features 220 updated and new monographs, each with the following: 

• Brand names 
• Safety information, including medication error potential, U.S .boxed warnings, and contraindications 
• Infusion related cautions Age-specific dosing information (including maximum dosages and adjustments in organ dysfunction) 
• Additives Suitable diluents 
• Maximum concentration 
• Preparation and delivery IV push, intermittent infusion, and continuous infusion recommendations 
• Other routes of administration (including IV and IM guidelines compiled specifically for pediatric patients) 
• Comments by pharmacy professionals in the field 
• Formerly called Teddy Bear Book: Pediatric Injectable Drug

Supplemental Updates: 

Perioperative Standards and Recommended Practices 

©2010 Association of periOperative Registered Nurses (AORN) 

Authors/Editors: Ramona Conner, RN, MSN, CNOR 

Perioperative Standards and Recommended Practices is the periop reference with the authoritative information essential to keeping your patients safe. The 2010 edition ofPerioperative Standards and Recommended Practices contains the latest AORN-approved standards, recommended practices, guidelines and guidance statements, as well as all approved position statements. There are six new or significantly revised documents in this edition: Recommended Practices for Transfer of Patient Care Information (new), Recommended Practices for Electrosurgery (updated), Recommended Practices for Hand Hygiene in the Perioperative Setting (updated), Recommended Practices for Minimally Invasive Surgery (updated), Recommended Practices for a Safe Environment of Care (updated blanket warmer information), Standards of Perioperative Nursing (updated). 

What's New in Quarter 3, 2010: 

• Recommended Practices for Sponge, Sharp, and Instrument Counts has been replaced with: Recommended Practices for Prevention of Retained Surgical Items 
• New Position Statement: AORN Position Statement on Care of the Older Adult in Perioperative Settings

New Edition, Title Change and Important Information: CPT® with RVUs Data Files, INGENIX ®

 

CPT® with RVUs Data Files, INGENIX ®

©2010 Ingenix® Inc. / St. Anthony Publishing / Medicode

Copyright: ® Ingenix, Inc. CPT only © 2010 American Medical Association

As per STAT!Ref subscribers requests, the title of this book is now listed as "CPT WITH RVUs DATA FILE, INGENIX® (2010)" Therefore it will appear in the "C" letter on the main Table of Contents

Important Information: Centers for Medicare and Medicaid Services (CMS) Deadlines: CMS no longer allows a 90-day grace period for using discontinued codes! You must use valid CPT codes for services performed on or after January 1, 2010.

2010 CPT Coding Changes:

Evaluation and Management: The E/M Guidelines at the beginning of the Evaluation and Management chapter were updated to expand the definition of Concurrent Care to include "Transfer of Care." The new definition reminds users to not use consultation codes when a transfer of care occurs, unless such transfer happens after the initial consultation evaluation.

Language within the nursing facility codes changed to remove the language “with the patient and/or family or caregiver” and replace it with “at the bedside and on the patient’s facility floor or unit.” The new text matches text within other facility E/M codes.

Surgery: The Special Report description in the Surgery Guidelines was shortened and the additional report items list has been removed. Additionally, th adjacent tissue transfer’s code number has been changed and there is now an add on code for each additional 30 sq cm’s transferred over 60 sq cm. Soft tissue excision codes now include sizes and additional codes for radical resection of a tumor (eg malignant neoplasm) were expanded to include all existing soft tissue excision locations. Note that many of these codes are resquenced, which means they are not in the typical order of small to large, minor to major or proximal to distal. For example, code 28039 -Excision, tumor, soft tissue of foot or toe, subcutaneous, 1.5 cm or greater, appears before 28043 - Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm. The AMA is no longer renumbering codes to make room for new codes within each section. Instead, the symbol # will be used to denote a code has been resequenced.

Resequencing Codes

Although the change does not affect many codes, the new practice of .Resequencing. which begins with CPT 2010 is a totally new concept. In order to respond to the increasing need for additional new codes due to the ever growing needs of physicians and payers, the AMA has found that adherence to the traditional numbering convention that inherently forces deletion and renumbering, compromises the long-term maintenance and integrity of CPT codes.

Resequencing allows related concepts to be placed in a numerical sequence regardless of the availability of numbers for sequential numerical placement. Thus, this process utilizes the content within the code descriptor to determine the appropriate placement in CPT.

There are new codes for laparoscopic paraesophageal hernia repair, including fundoplasty with and without implantation of mesh (43281-43282); laparoscopic longitudinal gastrectomy (i.e. sleeve gastrectomy) performed as a gastric restrictive (weight loss) procedure (43775); and transanal approach to excision of a rectal tumor, partial or full thickness (45171-45172). Complex cystogram codes were expanded to include urethral pressure profile studies and voiding pressure studies (51727-51729).

Bronchoscopy: The bronchoscopy codes were modified to include the text “including fluoroscopic guidance, when performed;” which had been in the section header (31622-31656). Hemorrhoidectomy codes were changed from simple, complex or extensive to single column/group or 2 or more column/groups (46250-46262 and 46945-46946). Similarly, the language was changed in the surgical treatment of anal fistula codes, replacing “complex or multiple” and replacing it with locations (46275-46280).

H1N1: New codes for H1N1 include: 90470 for the administration of the vaccine, and 90663 for the vaccine. See the AMA page at: http://www.ama-assn.org/ama/pub/h1n1/resources/cpt-codes.shtml for more information. To view the updates to the CPT code set, go to the Search Code Sets tab in CCH Coding Comply, select the CPT code set, select added, modified, and/or deleted in the Filter Actions and in the Start Date field enter