Pediatric Coding Alert
Home Visits
Oregon Subscriber
Answer: Its perfectly fine to use those codes; however, these are not specifically for preventive-medicine servicesthey are for sick visits. If the diagnosis code is V20.2 (99251-99263), the insurance company may not reimburse the claim. The more common use of the home visit codes by pediatricians is to care for special-needs children, for which insurance companies willingly pay. If there is a problem, such as a feeding problem, diaper rash, or some other problem that would allow the use of one of the home visit codes, you could use that diagnosis code along with the appropriate home visit code.
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