3221ac11_nual___Child_and_Teen_Checkups__ting_and_Medical_Documentation
[Exception Reason] Medical contraindication [Situation]  Child has a diagnosis of a hearing or visual impairment  Child has new glasses (identified visual impairment)  Completing a vision screening may not be indicated at this time  Refer child or parent for ongoing monitoring or treatment  Child has been diagnosed as having autism or developmental delay  Completing a developmental screening may not be indicated  Refer child or parent for on-going treatment or services for the condition, or both
 Maintain specific documentation of the diagnosis in the medical record of the child  Report the correct CPT code for the screening component on the claim  Enter an additional diagnosis code identifying the condition  Enter $0.00 or $0.01 as the submitted charge
MHCP Provider Manual - Child and Teen Checkups
Claim Reporting and Medical Documentation