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well child exam

  1. Default well child exam
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    so I was wondering when it comes to well child exams can z00.121 and z00.129 be used in the same chart.

    For instance a child the age of 6 comes in and they have a hemoglobin check (85018) done which is normal, and they have some acute illness that would render the z00.121. Could you have the hemoglobin (85018) with the z00.129- encounter for routine child exam without abnormal findings, and 99393 (established patient age 5-11 yrs) with a z00.121- encounter for routine child exam with abnormal findings, as well as whatever the abnormal problem DX is on the same chart? Or does everything on the chart become a z00.121 since there was an abnormal finding? Please help and thank you for your time!

  2. Default
    No, you would never use Z00.121 and Z00.129 for the same visit

    Either the "sick" condition was known before the exam or it was not

    You would still be OK linking the 85018-QW to Z00.121

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