The following chart outlines appropriate CPT codes to use when billing for well-child care services and the number allowed at each age interval.
ServiceProcedure Codes
Office Visit Hospital Visit 99381-99384, 99461, 99391-99394 99460, 99463
Developmental Test 96110, 96111
Immunizations 90460-90474, 90633-90634, 90645-90649, 90655-90658, 90660, 90664, 90666-90669, 90680, 90696, 90698, 90700-90708, 90710, 90712-90713, 90714-90715, 90716, 90718-90721, 90723, 90732, 90733, 90734, 90740, 90743-90744, 90747-90748, G0008-G0010, J1670, S0195
Preventive Medicine 99420, 99429
Preventive Counseling 99401-99404 99411-99412
TB 86580
UA 81000-81003
HCT 85004, 85007-85009, 85014, 85018, 85025
HBG85027, 85032, 85041
UC870861
Sickle - HB 83020
Sickle - SLD 85660
Lead 83655
PKU (In first month) 84030
Cholesterol 82465
Screening Ear 92551-92553 92585-92588 (infant)
Eye 92002, 92004, 92012, 92014, 99172, 99173
ServiceProcedure Codes
Office Visit Hospital Visit 99381-99384, 99461, 99391-99394 99460, 99463
Developmental Test 96110, 96111
Immunizations 90460-90474, 90633-90634, 90645-90649, 90655-90658, 90660, 90664, 90666-90669, 90680, 90696, 90698, 90700-90708, 90710, 90712-90713, 90714-90715, 90716, 90718-90721, 90723, 90732, 90733, 90734, 90740, 90743-90744, 90747-90748, G0008-G0010, J1670, S0195
Preventive Medicine 99420, 99429
Preventive Counseling 99401-99404 99411-99412
TB 86580
UA 81000-81003
HCT 85004, 85007-85009, 85014, 85018, 85025
HBG85027, 85032, 85041
UC870861
Sickle - HB 83020
Sickle - SLD 85660
Lead 83655
PKU (In first month) 84030
Cholesterol 82465
Screening Ear 92551-92553 92585-92588 (infant)
Eye 92002, 92004, 92012, 92014, 99172, 99173