Pediatric Codes

The Pediatrics package includes the 79 most commonly billed services in peds at a fraction of the cost of purchasing individual codes. Code packages are available for both monthly and annual subscription plans, with monthly updates provided for subscribers.

View the table below to see individual code descriptions.

Code Classifications and Descriptions

CategoryCategory DescriptionBilling CodeCode Description
PediatricsSurgery17000DESTRUCTION PREMALIGNANT LESION 1ST
PediatricsSurgery36415COLLECTION VENOUS BLOOD VENIPUNCTURE
PediatricsSurgery36416COLLECTION CAPILLARY BLOOD SPECIMEN
PediatricsSurgery54150CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK
PediatricsSurgery69210REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT
PediatricsSurgery69436TYMPANOSTOMY GENERAL ANESTHESIA
PediatricsPathology and Laboratory Procedures80061LIPID PANEL
PediatricsPathology and Laboratory Procedures81002URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP
PediatricsPathology and Laboratory Procedures81003URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY
PediatricsPathology and Laboratory Procedures85014BLOOD COUNT HEMATOCRIT
PediatricsPathology and Laboratory Procedures85018BLOOD COUNT HEMOGLOBIN
PediatricsPathology and Laboratory Procedures85025BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
PediatricsPathology and Laboratory Procedures86580SKIN TEST TUBERCULOSIS INTRADERMAL
PediatricsPathology and Laboratory Procedures87804IAADIADOO INFLUENZA
PediatricsPathology and Laboratory Procedures87880IAADIADOO STREPTOCOCCUS GROUP A
PediatricsMedicine Services and Procedures90460IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX
PediatricsMedicine Services and Procedures90461IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT
PediatricsMedicine Services and Procedures90471IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE
PediatricsMedicine Services and Procedures90472IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE
PediatricsMedicine Services and Procedures90633HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE
PediatricsMedicine Services and Procedures90647HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE
PediatricsMedicine Services and Procedures90648HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE
PediatricsMedicine Services and Procedures90670PCV13 VACCINE FOR INTRAMUSCULAR USE
PediatricsMedicine Services and Procedures90680RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE
PediatricsMedicine Services and Procedures90681RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE
PediatricsMedicine Services and Procedures90696DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE
PediatricsMedicine Services and Procedures90698DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE
PediatricsMedicine Services and Procedures90700DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM
PediatricsMedicine Services and Procedures90707MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ
PediatricsMedicine Services and Procedures90710MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ
PediatricsMedicine Services and Procedures90713POLIOVIRUS VACCINE INACTIVATED SUBQ/IM
PediatricsMedicine Services and Procedures90715TDAP VACCINE 7 YRS/> IM
PediatricsMedicine Services and Procedures90716VAR VACCINE LIVE FOR SUBCUTANEOUS USE
PediatricsMedicine Services and Procedures90723DTAP-HEPB-IPV VACCINE INTRAMUSCULAR
PediatricsMedicine Services and Procedures92551SCREENING TEST PURE TONE AIR ONLY
PediatricsMedicine Services and Procedures92552PURE TONE AUDIOMETRY AIR ONLY
PediatricsMedicine Services and Procedures92553PURE TONE AUDIOMETRY AIR & BONE
PediatricsMedicine Services and Procedures92567TYMPANOMETRY
PediatricsMedicine Services and Procedures96110DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM
PediatricsMedicine Services and Procedures96111DEVELOPMENTAL TESTING, EXTENDED
PediatricsMedicine Services and Procedures96112DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR
PediatricsMedicine Services and Procedures96113DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN
PediatricsMedicine Services and Procedures96127BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT
PediatricsMedicine Services and Procedures96156HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT
PediatricsMedicine Services and Procedures96160PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM
PediatricsMedicine Services and Procedures96161CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM
PediatricsMedicine Services and Procedures96360IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR
PediatricsMedicine Services and Procedures96365IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR
PediatricsMedicine Services and Procedures96372THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM
PediatricsMedicine Services and Procedures99173SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT
PediatricsMedicine Services and Procedures99174INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL & RPT
PediatricsEvaluation and Management99202OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES
PediatricsEvaluation and Management99203OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES
PediatricsEvaluation and Management99204OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES
PediatricsEvaluation and Management99205OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES
PediatricsEvaluation and Management99211OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP
PediatricsEvaluation and Management99212OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN
PediatricsEvaluation and Management99213OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN
PediatricsEvaluation and Management99214OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN
PediatricsEvaluation and Management99215OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN
PediatricsEvaluation and Management99381INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR
PediatricsEvaluation and Management99382INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS
PediatricsEvaluation and Management99383INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS
PediatricsEvaluation and Management99384INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR
PediatricsEvaluation and Management99391PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y
PediatricsEvaluation and Management99392PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS
PediatricsEvaluation and Management99393PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS
PediatricsEvaluation and Management99394PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS
PediatricsEvaluation and Management99421ONLINE DIGITAL E/M SVC EST PT <7 D 5-10 MINUTES
PediatricsEvaluation and Management99422ONLINE DIGITAL E/M SVC EST PT <7 D 11-20 MINUTES
PediatricsEvaluation and Management99441PHYS/QHP TELEPHONE EVALUATION 5-10 MIN
PediatricsEvaluation and Management99442PHYS/QHP TELEPHONE EVALUATION 11-20 MIN
PediatricsEvaluation and Management99443PHYS/QHP TELEPHONE EVALUATION 21-30 MIN
PediatricsEvaluation and Management994601ST HOSP/BIRTHING CENTER CARE PER DAY NML NB
PediatricsEvaluation and Management994611ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER
PediatricsEvaluation and Management99462SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN
PediatricsEvaluation and Management994631ST HOSP/BIRTHING CENTER NB ADMIT & DSCHG SM DAT
PediatricsEvaluation and Management99464ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN
PediatricsEvaluation and Management99465DELIVERY/BIRTHING ROOM RESUSCITATION

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