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2025 ICD-10-CM code Z00.12

Encounter for routine child health examination.

This code should not be used for newborn health examinations (Z00.11) or health supervision of foundlings (Z76.1-Z76.2). It should also not be used if the child presents with symptoms, in which case, a code for the presenting problem should be used as the primary diagnosis.

Routine child health examinations are considered medically necessary for preventive care and early detection of potential health issues.

The provider is responsible for performing age-appropriate screenings, administering necessary immunizations, and assessing the child's overall development.

In simple words: This code is used for a regular checkup for a child older than one month.

This code is used for a routine health check for a child over 28 days old. It includes immunizations appropriate for age, routine developmental screening, and routine vision and hearing testing.

Example 1: A 2-year-old child visits their pediatrician for a well-child check-up, including vaccinations and developmental screening., A 5-year-old child has a routine vision and hearing screening at their annual check-up., A 10-year-old child receives recommended immunizations during their routine health examination.

Documentation should include the child's age, developmental milestones, immunization records, and results of vision and hearing tests. Any abnormal findings should also be documented.

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