Encounter for pediatric-to-adult transition counseling

This code signifies a healthcare encounter focused on preparing an adolescent or young adult for the shift from pediatric-focused medical care to adult-oriented healthcare services. It addresses the unique challenges and planning involved in ensuring continuity of care and self-management skills as patients age out of pediatric systems.

Utilize this code when a provider is counseling a patient and/or their family about the process of transitioning from pediatric to adult medical care. This includes discussions about new adult providers, understanding insurance changes, managing chronic conditions independently, and navigating adult healthcare systems. It is appropriate for patients approaching or in early adulthood who are still under pediatric care.

• Always use this as a primary diagnosis when the sole purpose of the encounter is transition counseling.
• Do not use this code for routine well-child visits where transition is only briefly mentioned; the primary focus must be the counseling itself.
• Consider co-reporting with codes for any chronic conditions being managed, if discussed within the context of transition planning.