3221ac11_nual___Child_and_Teen_Checkups__ting_and_Medical_Documentation
[Exception Reason] Parent refusal [Situation]  Rescheduling for a later date is not feasible  Against personal or religious belief of the parent or family
 Provide specific documentation of the parent refusal  Report the correct CPT code for the screening component on the claim  Enter $0.00 or $0.01 as the submitted charge
MHCP Provider Manual - Child and Teen Checkups
Claim Reporting and Medical Documentation