HCY/EPSDT - Quick Reference Billing and Coding Guide
Healthy Children and Youth/Early and Periodic Screening, Diagnosis,
and Treatment (HCY/EPSDT) Quick Reference Billing and Coding Guide
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Updated to reflect American Academy of Pediatrics, CMS, and State Guidance
Thank you for providing quality healthcare to our members. As you know, quality of care is measured through the Healthy Children and Youth/Early and Periodic Screening, Diagnosis, and Treatment (HCY/EPSDT) and Healthcare Effectiveness Data and Information Set (HEDIS). To support your practice and help you increase your HCY/EPSDT participation and screening rates, we created this quick reference billing and coding guide.
This guide describes key HCY/EPSDT exam components and provides guidance on how to bill appropriately. Please always follow the State and CMS billing guidance and ensure the EPSDT codes are covered prior to submission.
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