Effective for dates of service on or after July 1, 2021, providers must use the most appropriate diagnosis code from the below table as the primary diagnosis for the well child exam.
Please note: The Health Check Program Guide will be updated by July 1, 2021, to include codes Z00.00 and Z00.01.
ICD-10 Diagnosis Code |
Code Description |
Z00.110 |
Health examination for newborn under 8 days old |
Z00.111 |
Health examination for newborn 8 to 28 days old |
Z00.121 |
Encounter for routine child health examination with abnormal findings |
Z00.129 |
Encounter for routine child health examination without abnormal findings |
Z00.00 |
Encounter for general adult medical exam (pt > 18 years) without abnormal findings |
Z00.01 |
Encounter for general adult medical exam (pt > 18 years) with abnormal find |
The Health Check Program Guide can be found at https://medicaid.ncdhhs.gov/providers/programs-and-services/medical/wellness-visits-and-diagnostic-and-treatment-services.
Contact
NCTracks Call Center: 800-688-6696