Developmental Screening
The components of a Well-child Visit, as indicated by the Early Periodic Screening, Diagnosis and Treatment (EPSDT) criteria, are:
ICD-10-CM CATEGORY CODE RANGE SPECIFIC CONDITION ICD-10 CODE Diseases of the Circulatory System I00 –I99 Essential hypertension I10 Unspecified atrial fibrillation I48.91 Diseases of the Respiratory System J00 –J99 Acute pharyngitis, NOS J02.9 Acute upper respiratory infection J06._ Acute bronchitis, *,unspecified J20.9 Vasomotor rhinitis J30.0
The new codes are for describing the infusion of tixagevimab and cilgavimab monoclonal antibody (code XW023X7), and the infusion of other new technology monoclonal antibody (code XW023Y7).
Z00.129. Encounter for routine child health examination without abnormal findings.
0 - 17 years inclusiveZ00. 129 is applicable to pediatric patients aged 0 - 17 years inclusive.
ICD-10 code Z00. 121 for Encounter for routine child health examination with abnormal findings is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Z00. 00 is applicable to adult patients aged 15 - 124 years inclusive.
Z00.00ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
For new patients making a well baby/well child care visit: • For infants under age 1, use CPT code 99381. For children ages 1 to 4 (early childhood), use CPT code 99382. For children ages 5 to 11 (late childhood), use CPT code 99383.
Z00.00No specific diagnosis is required for the Annual Wellness Visit, but Z00. 00 or Z00. 01 is appropriate for the Annual Routine Physical Exam. A Depression Screening (G0444) is a required component within the initial Annual Wellness Visit (G0438) and should not be billed separately.
0 - 17 years inclusiveZ00. 121 is applicable to pediatric patients aged 0 - 17 years inclusive.
ICD-10 Z-codes: ICD-10 diagnosis codes in chapter 21 (beginning with “Z”) are not automatically considered routine/preventive; some will be considered medical diagnosis codes.
Use code Z00. 01 as the primary code as well as the codes for the chronic condition(s). When to use code Z00. 00: Patient presents for an Annual Wellness Visit (AWV).
with one of the following appropriate primary diagnosis codes: – Z00. 00 – Encounter for general adult medical examination without abnormal findings. – Z00.
The two CPT codes used to report AWV services are: G0438 initial visit. G0439 subsequent visit.