Child and Adolescent Well-Care Visits (WCV)
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/guardians to establish care with a primary care provider and reinforce the importance of routine preventive well-care visits.
- Educate patients and parents/guardians about the screenings, counseling, and preventive health topics addressed during each well-care visit.
- Remind parents/guardians of upcoming appointments through phone calls, text messages, or patient portal messaging.
- Encourage families to enroll in the patient portal, when available, to support appointment reminders and ongoing communication.
- Consider completing the well-care visit during a sick visit when appropriate and feasible.
- Combine well-care visits with sports physicals when clinically appropriate.
- Schedule the next well-child visit before the family leaves the current appointment; consider having scheduling staff assist in the exam room.
- Consider offering after-hours well-care visit events or focused scheduling opportunities to improve access.
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 | Z02.84 | Z76.1 | Z76.2 |
Coding and Benefits Disclaimer
Providers and organizations must submit accurate and complete data in accordance with all billing, coding, and medical policy requirements. HEDIS guidance does not override official coding standards or guarantee reimbursement, as coverage is subject to applicable medical/coding policy and member-specific benefits.
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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Updated 8/28/2026
