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Wiki Well Child visit over age 6

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pamelamick

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I am having an issue with Tricare regarding well child visits over age 6. Our Dr's code the dx v20.2 and Tricare is rejecting these visits saying that our dx code is incorrect. I have been told they will cover the visit if its coded as a school physical. I do not want to code it as this since it is their yearly well check. Can some one please advise the correct handling?:confused:
 
Tricare WCC

I am told that you have to use dx code V20.2 for ages 0-4, dx code V70.3 for ages 5-18, and dx code V70.0 for ages 19 & up. (Tricare only)
 
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