Diagnosis Overview

What is Well Child Check?

Essential facts and insights about Well Child Check

Key Clinical Considerations:

Routine assessment of growth and development
Screening for developmental delays and behavioral issues
Immunization status review

Clinical Information

Clinical Criteria & Documentation Requirements

Patient's age and developmental milestones
Immunization history and updates
Results of any screening tests performed

Coding Guidelines

Usage Guidelines & Examples

Use Z00.129 for well visits without issues; Z00.121 if any abnormal findings are noted.
Common errors include using sick visit codes for well child checks.

Code Exclusions

Important Exclusions

Acute illnesses or injuries
Codes for specific developmental disorders

Related ICD-10 Codes

Primary Codes

Z00.129

Encounter for routine child health examination without abnormal findings

Z00.121

Encounter for routine child health examination with abnormal findings

Ancillary Codes

E66.9

Z00.121

if obesity is noted as an abnormal finding.

Differential Codes

Z00.121

if any abnormal findings are present during the examination.

Z00.129

if no abnormalities are present.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Pediatrics

Specialty Applications

Children from birth to 18 years
Pediatric clinics, family practice offices, and community health centers

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document growth parameters, developmental milestones, and any concerns raised during the visit.

What are the billing considerations?

Ensure proper coding based on findings and include any preventive services provided.