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Pediatric Coding Alert

Reader questions:

Verify Coverage Before 30-Month Check

Published on Mon Jan 11, 2010

Question: Is it acceptable to offer (and charge for) 30-month visits? If so, how do we handle them? Kentucky Subscriber Answer: First, remember that payment and evidence based preventive medical standards are not the same thing."The Bright Futures/American Academy of Pediatrics "Recommendations for Pediatric Health Care" recommend a 30-month preventive medicine service (brightfutures.aap.org/pdfs/AAP%20Bright%20Futures%2 0Periodicity%20Sched%20101107.pdf). You should code these based on the patient's status as new or established. A patient is established if he has received professional services from your pediatric group in the last three year (since he was born). For a 30-month preventive medicine new patient visit, use 99382 (Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; early childhood [age 1 through 4 years]). Code an established patient preventive medicine service as  9392 (Periodic comprehensive preventive [...]
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