There has been increased focus on social determinants of health (SDOH) in recent years. SDOH are defined in Healthy People 2030 as conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.1 Healthy People 2030 divides SDOH into 5 domains.

Each of these domains can affect how a patient has access to, experiences, and benefits from health care services. Although pediatric physicians often must address SDOH that affect the delivery of health care services, these conditions may go unreported and have not typically affected payment.

When addressing SDOH that affect patient management requires additional time for the physician or other qualified health care professional (QHP) providing an E/M service, code selection may be based on time, as discussed later in this article. Currently, only Current Procedural Terminology (CPT ®)...

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