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When to bill code S0302

Gustavo Posted Tue 04th of December, 2012 17:15:43 PM

Should I be billing code S0302 with every physical? Our physicians do a developmental screening on most physicals and bill 96110. Is S0302 necessary?

Thanks for you help

SuperCoder Answered Tue 04th of December, 2012 20:43:47 PM

The visit can be billed as a completed well-child visit using the appropriate preventive medicine visit service code, and add-on code S0302, plus the diagnosis code appropriate for the condition for which the child was treated.
• Line A: 99392
• Line B: S0302
On additional claim lines add any screenings or tests included in Appendix Z and, if Service
Code 96110 is claimed for a behavioral health screen, add the appropriate modifier.
However, if the provider had been unable to complete all of the required screens, and the
child was scheduled to return at a later date, only the second visit could be billed as a well-
child visit according to the Schedule. For example, bill the first visit as follows:
• Line A: 99212
If the child is seen by the nurse practitioner who is providing service in collaboration with the
physician during the return visit, and all of the required screens are completed, the second
visit may be billed as follows:
• Line A: 99392 SA
• Line B: S0302
On additional claim lines add any screenings or tests included in Appendix Z and, if Service
Code 96110 is claimed for a behavioral-health screen, add the appropriate modifier.

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