Pediatric coding spans well-child visits, acute illnesses, vaccinations, developmental screenings, and chronic condition management from newborn through adolescence. This page covers the most-used ICD-10-CM and CPT codes for pediatric practices in the United States.
Z00.12x codes are used for routine child health examinations. Z00.129 is the unspecified age version. Z00.121 is for children with abnormal findings. Select the appropriate code based on age and findings documented.
What CPT code is used for a 4-year-old well visit?
99392 covers preventive medicine for established patients aged 1–4 years. For a new patient at the same age, use 99382. Both include a comprehensive history, exam, and counseling.
Can I bill for developmental screening separately?
Yes. 96110 (developmental screening) and 96127 (behavioral/emotional screening) can both be billed on the same day as a preventive E&M without a modifier. Each must have a documented instrument, score, and clinician review.
What is the ADHD code for combined type?
F90.2 is the ICD-10 code for ADHD, combined presentation (formerly combined type in DSM-IV). It requires documentation of both inattentive and hyperactive-impulsive symptoms meeting DSM-5 criteria for at least 6 months.
How does OmniMD support pediatric practices?
OmniMD’s Pediatrics EHR includes growth chart tracking, immunization scheduling aligned with ACIP guidelines, and age-appropriate developmental screening tools integrated directly into the well-child visit workflow.
Streamline Your Pediatrics Practice with OmniMD
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