2023 Preventive Schedule Mid-Year Update: New Anxiety Screening Benefit

Anxiety An annual Anxiety Screening for children ages 8 to 18 — recommended by the United States Preventive Services Task Force (USPSTF) — is being added as a new benefit to the Highmark Preventive Schedule effective July 1, 2023.

Other changes to the Preventive Schedule include additional types of vaccines for the following:
  • Hepatitis A – New 4-Dose Vaccine
    Members now have a 4-dose vaccine option, along with the previously approved series of 2-dose and 3-dose vaccinations.
  • Haemophilus Influenzae Type B – New 3-Dose Vaccine
    Members can either choose the new 3-dose vaccine or the previously approved 4-dose option.

Benefit Coding for Anxiety Screening

Providers should use the following codes for the annual Anxiety Screening:

  • Z00121, Z00129, Z0000, Z0001, Z00121, Z00129 – Preventive office visit diagnosis
    OR
  • Z13.39, Z1330 – Screening examination for other mental health and behavioral disorders

AuthorizationIn combination with code 96127 – Brief emotional/behavioral assessment.

To access the updated Preventive Health Guidelines, go to the Provider Resource Center, select EDUCATION/MANUALS from the left menu and click Preventive Health Guidelines.

 

esubscribe