Child Abuse

Billing

Possible ICD-9 Codes:

995.50

Child maltreatment, unspecified

.51

emotional/psychological abuse

.52

neglect (nutritional)

.53

sexual abuse

.54

physical abuse

.55

shaken infant syndrome

.59

multiple forms of abuse

V15.41

History of physical abuse or rape

V15.42

History of emotional abuse or neglect

V61.0

Family disruption (divorce, separation)

V61.21

Counseling for victim of child abuse

Possible CPT Codes:

99201 to 5

New patient evaluation and management

99212 to 5

Established patient evaluation and management

modifier 21

Prolonged evaluation and management services

modifier 25

Separately identifiable E&M on same day (well child visit plus child abuse issue)

99361

30 min. team conference

99362

60 min. team conference

99371 to 3

3 Levels of phone calls for consultation or coordinating management

99381

New patient comprehensive preventive medicine age < 1

99382

New patient comprehensive preventive medicine age 1-4

99383

New patient comprehensive preventive medicine age 5-11

99384

New patient comprehensive preventive medicine age 12-17

99391

Periodic comprehensive preventive medicine age <1

99392

Periodic comprehensive preventive medicine age 1-4

99393

Periodic comprehensive preventive medicine age 5-11

99394

Periodic comprehensive preventive medicine age 12-17

99401
99402
99403
99404

Preventive medicine counseling, individual, 15 minutes
Preventive medicine counseling, individual, 30 minutes
Preventive medicine counseling, individual, 45 minutes
Preventive medicine counseling, individual, 60 minutes

99358
(add on code)

Chart review 60 min. (without face-to-face contact)

99359
(add on code)

each additional 30 min.


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