Child and Adolescent Well-Care Visits (WCV)
Line of business: BlueAlliance (Commercial)
Measure Description
Members 3-21 years of age who had at least one comprehensive well-care visit with a PCP or an OB/GYN practitioner in the measurement year.
Notes
- This measure applies to members ages 3-21 years as of December 31st of the measurement year.
- The well-care visit must occur with a PCP or an OB/GYN practitioner.
- Telehealth visits do not count as a well-care visit.
Exclusions
- Members in hospice during the measurement year.
- Member who died during the measurement year.
Best Practices
- Encourage parents to establish care with a PCP and educate parents on the importance of preventive care visits.
- Educate patients/parents on the importance of screening and counseling on healthcare topics done at each well-care visit.
- Make outreach calls and/or send letters to advise members of the need for a visit.
- Remind parents of the upcoming appointment for their child or adolescent by making calls, sending text messages or utilizing patient portal messaging.
- Promote signing up for patient portal if facility provides it (i.e., MyChart).
- Consider completing Well-Care visit during sick visits.
- Incorporate well-care visits with sports physicals.
- Schedule subsequent well-child visits at completion of current visit. Consider implementing an appointment scheduler to come to the patient room.
- Consider hosting a Well-Care visit blitz after hours.
Well Care Codes
CPT® Codes | |||
99832 | 99383 | 99384 | 99385 |
99392 | 99393 | 99394 | 99395 |
HCPCS | ||
G0439 | G0438 | S0302 |
S0610 | S0612 | S0613 |
ICD-10 Codes | |||
Z00.00 | Z00.01 | Z00.121 | Z00.129 |
Z00.2 | Z00.3 | Z01.411 | Z01.419 |
Z02.5 | |||
Coding Disclaimer
The analysis of any medical coding question related to a measure is dependent on the measure’s technical specifications including the factual situations present related to the member, the practice, the professionals, and the medical services provided.
Questions
Should you have specific coding or other questions related to the measure, please send your questions to BlueAlliance@bcbsnd.com.
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