Early and Periodic Screening, Diagnostic and Treatment Service Codes

Well Visit Codes  New Patient
99381 Infant (younger than 1 year)
99382 Early childhood (age 1–4 years)
99383 Late childhood (age 5–11 years)
99384 Adolescent (age 12–17 years)
99385 18 years or older
  Established Patient
99391 Infant (younger than 1 year)
99392 Early childhood (age 1–4 years)
99393 Late childhood (age 5–11 years)
99394 Adolescent (age 12–17 years)
99395 18 years or older

 

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

 

Behavioral Health Visit Codes  
S9484 Crisis Intervention, Mental Health Services
90832 Individual Psychotherapy, 30 min, face-to-face
90834 Individual Psychotherapy, 45 min, face-to-face
90837 Individual Psychotherapy, 60 min, face-to-face
90853 Group 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  
96161 Maternal depression screening
96110 Developmental screening
96110 with U1 modifier Autism screening
85018 Anemia screening
83655 Blood lead screening
99173, 99174 and 97177 Vision screening
92551, 92552 and 92587 Hearing screening
80061  Dyslipidemia screening
96127 Behavioral/Social/Emotional screening
96127 with diagnosis code Z13.31 Depression and suicide risk screening
96160 Tobacco, vape, alcohol or drug use assessment
99188 Application of topical fluoride varnish
86701 and 86703 HIV Screening
87491, 87591, 86780 and 87521 Sexually transmitted infection screening

 

Nutrition Counseling Codes  
97802 Nutrition therapy; initial assessment/intervention (15 min)
97803 Nutrition therapy; reassessment/intervention (15 min)
97804 Nutrition therapy; group 2 or more (30 min)
G0270 Nutrition reassess/2nd referral in same year/change in diagnosis  
G0447 Behavioral counseling for obesity
S9470 Nutritional counseling, dietitian visit 

 

Procedural Codes for Ordering or Billing for Hepatitis C Tests  
86803 Hepatitis C antibody
86804 Hepatitis C antibody; confirmatory test (e.g., immunoblot)
87520  Infectious agent detection by nucleic acid (DNA or RNA); hepatitis c, direct probe technique
87521 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis c, amplified probe technique, includes reverse transcription when performed
87522 Infectious 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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