| Code(s) |
Description |
New patient visits
|
|
| 99460 |
History & physical of inpatient "Normal Newborn" |
99463
|
History & physical of newborn for same day discharge |
99381
|
Initial evaluation, under age of 1 year |
99382
|
Initial evaluation, age 1-4 years |
| 99383 |
Initial evaluation, age 5-11 years |
| 99384 |
Initial evaluation, age 12-17 years |
| 99385 |
Initial evaluation, age 18-21 |
Established patient visits
|
|
| 99391 |
Reevaluation, under age of 1 year |
| 99392 |
Reevaluation, age 1-4 years |
| 99393 |
Reevaluation, age 5-11 years |
| 99394 |
Reevaluation, age 12-17 years |
| 99395 |
Reevaluation, age 18-21 years |
EPSDT-required services that may be billed separately
|
When performed according to the periodicity table.
For complete descriptions, refer to the Physician's Current Procedural
Terminology code book. |
| 85014 |
Hematocrit |
| 85018 |
Hemoglobin |
| 81002 |
Urine testing with standardized reagent dipstick for sugar &
albumin |
| 90632-90749 |
Immunizations
Continue to obtain the serum from local health department
|
| 86580 or 86585 |
Tuberculin testing (TB) |
90465, 90467, 90471, 90473
|
One vaccine |
90466, 90468, 90472, 90474
|
Subsequent vaccines
Must bill administration code and immunization code, even if
immunization serum was free. |
90470
|
H1N1 administration
|
| 96110 |
Developmental testing, limited (e.g., developmental screening test II, early language milestone screen) with interpretation and report
|
96111
|
Developmental testing, extended (includes assessment of motor, language, social, adaptive and/or cognitive functioning by standarized developmental instruments) with interpretation and report
|
