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Primary Care Coding Alert

Reader Question:

Age 18 Is V20.2 Cut-off

Published on Sun Jan 25, 2004

Question: What is the age limit on V20.2?

Idaho Subscriber Answer: ICD-9 designates V20.2 (Health supervision of infant or child; routine infant or child health check) as a pediatric code for infants and children age 0-17. You should use V20.2 with 99381-99384 (Initial comprehensive preventive medicine evaluation and management of an individual ...) and 99391-99394 (Periodic comprehensive preventive medicine re-evaluation and management of an individual ...).

When a patient who is 18 or older presents for a well-check (99385-99387, New patient preventive medicine service; and 99395-99397, Established patient preventive medicine service), you should use V70.0 (General medical examination; routine general medical examination at a healthcare facility).

- Answers to You Be the Coder and Reader Questions provided by Peter Rappo, MD, FAAP, assistant clinical professor at Harvard University School of Medicine; and Susan Welsh, CPC, PMCI, director of coding and education for HCA Physician Services and former billing coordinator for the department of orthopedics at Vanderbilt University in Nashville, Tenn.
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