<<Needless to say it takes MUCH longer than your average 9 month old discussion on separation anxiety. The child though, was healthy. His third hepatitis B vaccine was given. How do you code this?>> I would suggest that you you charge the Well child check code than add the appropriate evaluation and management code with the "-25" modifier indicating separate sick services on the same day. I would use the 4 best diagnostic codes from the child's history to go along with the claim. Of course, medicaid won't pay for two services on the same day, even with the modifier, but regular insurers should honor it. Richard Blutstein MD Pennsboro Pediatrics Enola, PA