Early and Periodic Screening, Diagnostic and Treatment Service Codes

Well Visit Codes New Patient
99381Infant (younger than 1 year)
99382Early childhood (age 1–4 years)
99383Late childhood (age 5–11 years)
99384Adolescent (age 12–17 years)
9938518 years or older
 Established Patient
99391Infant (younger than 1 year)
99392Early childhood (age 1–4 years)
99393Late childhood (age 5–11 years)
99394Adolescent (age 12–17 years)
9939518 years or older

 

Evaluation and Management Codes 
99202 - 99205New patient
99212 - 99215Established patient

 

Behavioral Health Visit Codes 
S9484Crisis Intervention, Mental Health Services
90832Individual Psychotherapy, 30 min, face-to-face
90834Individual Psychotherapy, 45 min, face-to-face
90837Individual Psychotherapy, 60 min, face-to-face
90853Group Psychotherapy (other than multiple family)
*GT modifier must be used for Tele-Therapy services 
*SC modifier must be used for non-IEP services 

 

Screening Codes 
96161Maternal depression screening
96110Developmental screening
96110 with U1 modifierAutism screening
85018Anemia screening
83655Blood lead screening
99173, 99174 and 97177Vision screening
92551, 92552 and 92587Hearing screening
80061 Dyslipidemia screening
96127Behavioral/Social/Emotional screening
96127 with diagnosis code Z13.31Depression and suicide risk screening
96160Tobacco, vape, alcohol or drug use assessment
99188Application of topical fluoride varnish
86701 and 86703HIV Screening
87491, 87591, 86780 and 87521Sexually transmitted infection screening

 

Nutrition Counseling Codes 
97802Nutrition therapy; initial assessment/intervention (15 min)
97803Nutrition therapy; reassessment/intervention (15 min)
97804Nutrition therapy; group 2 or more (30 min)
G0270Nutrition reassess/2nd referral in same year/change in diagnosis  
G0447Behavioral counseling for obesity
S9470Nutritional counseling, dietitian visit 

 

Procedural Codes for Ordering or Billing for Hepatitis C Tests 
86803Hepatitis C antibody
86804Hepatitis C antibody; confirmatory test (e.g., immunoblot)
87520 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis c, direct probe technique
87521Infectious agent detection by nucleic acid (DNA or RNA); hepatitis c, amplified probe technique, includes reverse transcription when performed
87522Infectious agent detection by nucleic acid (DNA or RNA); hepatitis c, quantification, includes reverse transcription when performed
87902 Infectious agent genotype by nucleic acid (DNA or RNA); Hepatitis c virus
G0472 Hepatitis C antibody screening at high risk and other covered indication(s)

 

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