#Well baby visits by age code

Documentation should include approximate time spent face-to-face with the family and patient, notation of time spent in counseling, and context of counseling. However, if significant time beyond that typical of the infant preventive service is spent in counseling, physicians may also report a problem-oriented service (99212-99215) with modifier -25 to indicate the significant and separately identifiable services provided on the same date. This service includes time spent addressing routine feeding issues.

#Well baby visits by age code

Code 99391 may be reported with diagnosis code Z00.129 (encounter for routine child health examination without abnormal findings) for this service. If no feeding or other health problem has been previously noted, this visit may be the first well-child visit when provided by a physician, nurse practitioner, or physician assistant. When the visit is in follow-up to an identified problem such as jaundice, infrequent stools, or infrequent feedings, and the physician, nurse practitioner, or physician assistant provides the service, an office visit (e.g., 99212-99215) and problem specific diagnosis codes should be reported. Coding for this service depends on the provider of the service and whether the visit is in follow-up to an already identified problem or screening for problems.

After the newborn has been discharged to home, it is common practice to see the infant to assess for jaundice or any feeding problems.