A multi-specialty group codes a well-child visit at which abnormal findings are identified and evaluated. How should the routine child health examination diagnosis concept be selected?
Select an answer to reveal the explanation.
Short Explanation
Well-child visits come in two flavors: clean check versus “we found something.” If abnormal findings show up and get worked up, pick the with-abnormal-findings exam concept—not the everything-is-fine version just because it was booked as a wellness slot.
Full Explanation
ICD-10-CM distinguishes routine child health examinations with and without abnormal findings. When abnormalities are documented and evaluated during the preventive encounter, the with-abnormal-findings code is appropriate, and related condition codes are assigned as supported. Scheduling intent alone does not force the without-abnormal-findings selection.