Consult current-year CPT and ICD-10-CM resources and confirm requirements with individual payers before submitting claims.
ADHD Coding Fact Sheet for Primary CarePediatricians
This archived ADHD Coding Fact Sheet for Primary Care Pediatricians provides an overview of coding and documentation considerations for evaluating and managing children with attention-deficit/hyperactivity disorder. The resource addresses office and outpatient evaluation and management services, time-based reporting, ADHD follow-up during preventive visits, prolonged and non-face-to-face services, psychiatric and psychological testing, and diagnosis coding for ADHD and related conditions. Originally published as part of the American Academy of Pediatrics’ Caring for Children With ADHD: A Resource Toolkit for Clinicians, 2nd Edition, the fact sheet references 2011 CPT guidance and ICD-9-CM codes. It is provided for historical and educational reference only and should not be used as a current billing or coding authority. Pediatricians, practice managers, and medical coding professionals should verify all codes, documentation requirements, and payer policies using current CPT, ICD-10-CM, AAP, CMS, and insurer guidance.
