Attention: Providers of Well Child Exams - Clarification of Appropriate Diagnosis Codes
ICD-10 Diagnosis Code | Code Description |
Z00.110 | Health examination for newborn under 8 d ... |
Z00.111 | Health examination for newborn 8 to 28 d ... |
Z00.121 | Encounter for routine child health exami ... |
Z00.129 | Encounter for routine child health exami ... |
10 Facts You Didn't Know about ICD-10
The ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) is a system used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care in the United States.
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
Z00.129. Encounter for routine child health examination without abnormal findings.
Z00.00ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
Z00. 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 .
No 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.
The two CPT codes used to report AWV services are:G0438 initial visit.G0439 subsequent visit.
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.
0 - 17 years inclusiveZ00. 121 is applicable to pediatric patients aged 0 - 17 years inclusive.
15 - 124 yearsZ00. 00 is applicable to adult patients aged 15 - 124 years inclusive.
ICD-10 Code for Encounter for general adult medical examination with abnormal findings- Z00. 01- Codify by AAPC.
9: Fever, unspecified.
ICD-10 code R54 for Age-related physical debility is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .