For the purpose of assigning codes for routine child health examinations, official guidance from the American Hospital Association Coding Clinic states that an “abnormal finding” is a newly discovered condition or a known/chronic condition that has increased in severity (ie, uncontrolled or acutely exacerbated). Report code Z00.121 (encounter for routine child health examination with abnormal findings) for finding of a new or exacerbated problem at the well-child visit. Report also the code for the abnormal finding. If a physician addresses a condition that is not new or exacerbated (eg, evaluates asthma status and refills medication), report code Z00.129 (encounter for routine child health examination without abnormal findings) first, followed by the code for the condition addressed.

Code Z01.818 (encounter for other preprocedural examination) should be the first-listed code for the preoperative examination, as the pre-procedural clearance would not focus solely on the respiratory system. The American Hospital Association Coding Clinic...

You do not currently have access to this content.