What is “EPSDT” in medical billing?

EPSDT in Medical Billing

EPSDT stands for Early and Periodic Screening, Diagnostic, and Treatment, a Medicaid program for children and adolescents under 21.

EPSDT in Medical Billing Explained

In medical billing, EPSDT services are required for Medicaid-eligible children to ensure they receive appropriate preventive, diagnostic, and treatment services. Billing for EPSDT includes services like well-child visits, immunizations, and screenings.

For example, a pediatric clinic bills Medicaid for an EPSDT visit that includes a physical exam and vaccinations for a child.

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