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 ... |
Z00.129 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Encntr for routine child health exam w/o abnormal findings.
Effective for dates of service on or after July 1, 2021, providers must use the most appropriate diagnosis code from the below table as the primary diagnosis for the well child exam. Please note: The Health Check Program Guide will be updated by July 1, 2021, to include codes Z00.00 and Z00.01.
2018/2019 ICD-10-CM Diagnosis Code Z00.129. Encounter for routine child health examination without abnormal findings. 2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years) POA Exempt. Z00.129 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Encounter for examination for admission to educational institution. Z02.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM Z02.0 became effective on October 1, 2018.
Z00.129ICD-10 Code for Encounter for routine child health examination without abnormal findings- Z00. 129- Codify by AAPC.
Z00.129. Encounter for routine child health examination without abnormal findings.
Z00.00Encounter for general adult medical examination without abnormal findings. Z00. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z00.
The adult annual exam codes are as follows: Z00. 00, Encounter for general adult medical examination without abnormal findings, Z00.
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).
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.
G0439 – Annual Wellness Visit; Subsequent ICD-9-CM code V70. 0 (Routine general medical exam) is an appropriate primary diagnosis for the AWV. Any chronic or acute conditions addressed and documented during the visit should also be coded with the appropriate ICD-9-CM diagnosis code.
9.
AWV Coding. The two CPT codes used to report AWV services are: G0438 initial visit. G0439 subsequent visit.
Example: A child has a well-child visit EPSDT (99381 – 99461), with a well child diagnosis code (Z-code) in the first position; the sick visit code (99211 – 99215) with the modifier 25 and with the illness diagnosis CPT code in the second position.
121, Z00. 129, Z00. 00, Z00. 01 “Prophylactic” diagnosis codes are considered Preventive.
Other specified counselingICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .