The “You Code It!” article earlier in this newsletter presented a new patient well-child visit with structured screening for global developmental delays and autism spectrum disorder, and also included lead screening and administration of preservative-free quadrivalent influenza, diphtheria, tetanus, and acellular pertussis vaccine and hepatitis A vaccine with physician counseling.

Although most claims are now filed by electronic submission, the Table illustrates how the appropriate codes for this service would appear on a paper Centers for Medicare & Medicaid Services 1500 claim form.

Discussion of codes reported for each separately reported service follows. Note how different diagnosis codes are linked to the various procedure codes (items 24D and 24E on the claim form example in the Table).

The 18-month-old new patient presented for a well-child examination. Code 99382 is the appropriate procedure code for reporting this service.

Modifier 25 (significant, separately identifiable evaluation and management service by the same physician...

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