Specialty Billing

Pediatrics Billing Services

CPC-certified billing for pediatric practices — well-child visits, vaccine administration, developmental screening, and Medicaid claims handled correctly every time.

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96%+

Clean claim rate

48 hrs

Denial turnaround

8–15%

Revenue practices recover

Where Pediatric Practices Lose Revenue

Well-Child Visit Complexity

Preventive medicine visits for children (99381–99385 new, 99391–99395 established) have age-specific requirements. Combining a sick visit with a well-child visit requires split-visit coding and modifier 25 — a common underbilling point.

Vaccine Administration Coding

Each vaccine requires both the product code and an administration code. When multiple vaccines are given in a single visit, the administration codes stack but billing often doesn't. This gap adds up to thousands per year.

Developmental Screening & ADHD

CPT 96110 for developmental screening and 96127 for brief behavioral assessments are billable at every well-child visit where they're administered — but they're frequently dropped from claims.

Medicaid Complexity

Pediatric practices often have a high Medicaid payer mix. Medicaid billing rules vary significantly from commercial payers and require specific coding practices to avoid denials.

What PrecisionBill Handles for Pediatrics

From well-child visits to sick visits, vaccines, and developmental services — we capture every code your documentation supports.

  • ✓Well-child preventive visit coding (99381–99395)
  • ✓Sick visit and split-visit billing with modifier 25
  • ✓Vaccine administration coding (90460–90474)
  • ✓Developmental and behavioral screening (96110, 96127)
  • ✓ADHD assessment and management coding
  • ✓Medicaid and CHIP billing
  • ✓Telehealth pediatric visit coding
  • ✓Denial management and appeals within 48 hours
  • ✓Payer credentialing and re-credentialing
  • ✓HIPAA-compliant claim submission

Stop Underbilling Your Pediatric Practice

Most pediatric practices are leaving thousands on the table every month in vaccine administration codes, screening codes, and split-visit billing. Find out where yours stands.

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