I'd like to know how other facilities code the WCC for the first year if they are coming in the first month for a weight check? Our providers only want to use the 99391 at 2 weeks, 4 weeks, and 2-4-6-9- and 12 mos. Anything in between they don't want to use the 99391. So for weight checks, jaundice checks, with all the other elements of a wellness check with no real diagnosis we are using Z01.89 encounter for other specified special examinations. And use 99212-99215 CPT's. I can't find any guidance to how often they can use the 99391 the first year. Anyone know the answer to that question?
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Wiki Well Child Check first year
- Thread starter dawner40
- Start date
rthomas@impcna.com
Guru
It's going to depend on the payers guidelines as to how many wellness visits they allow in the first year. In our practice we do 99391 at 3-5day, 2 weeks and
2month - 12 month. The only time we have patient comes in for weight check only is if there hasn't been weight gain, feeding problems or FTT. For weight checks only we charge a 99211 nurse visit since they only see a nurse unless the baby has lost weight or still isn't gaining and a provider gets involved. For jaundice checks since we have an in house lab so we just do the lab only.