Well-Child Visits (WCV)
You can conduct or schedule well-child visits when patients come to your office for illnesses or other events. You don’t need to wait 365 days between well visits. This means children no longer must wait 12 months from the date of their last wellness visit to be covered for an annual wellness visit. The claim modifier for separate and distinct services should be added. Telehealth can be used for well-child visit compliance but be sure to submit the appropriate CPT with GT modifier.
This measure is based on the American Academy of Pediatrics Bright Futures: Guidelines for Health Supervision of Infants, Children and Adolescents (published by the National Center for Education in Maternal and Child Health). Visit Bright Futures for more information about well-child visits.
Oral Evaluation, Dental Services (OED)
When seeing your pediatric patients, talk to their families about the link between oral and overall health, and encourage routine dental visits beginning as early as age one, or first tooth eruption.
- No referral is required to see a dental provider.
- Inform the family of the link between oral health and overall health.
- Encourage routine visits beginning as early as age one or first tooth eruption.
Regular checkups are important at all ages, so be sure to schedule annual wellness visits for all your patients.
JP69380 6/2025