ICD-10 Z13.32 is officially defined as "Encounter for screening for maternal depression." code Z13.32 is referenced in 2 tracked payer policy changes from L.A. Care Health Plan and New Mexico Medicaid. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for code Z13.32 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
L.A. Care Health Plan requires providers to conduct and document maternal mental health screenings during pregnancy and postpartum using validated tools like EPDS or PHQ-9, with specific billing codes for enhanced HEDIS reporting. Positive screens must have documented follow-up within 30 days and appropriate referrals within 10 days.
New Mexico Medicaid's EPSDT (Tot to Teen Healthcheck) well-child visit requirements call for a comprehensive, age-appropriate visit that includes medical history, nutrition screening, measurements, vision and hearing screening, developmental and behavioral screening, a physical examination, oral evaluation, immunizations per the AAP schedule, and anticipatory guidance. Children entering state custody must receive a comprehensive well-child visit within 30 days of entry, and all Medicaid-enrolled children must receive a blood lead level screening test at 12 and 24 months. Maternal depression screening during infant well-child visits is reimbursable under the infant's Medicaid ID.
Watch Z13.32
Get one email when a payer policy names Z13.32, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.
Get alerts for changes like this
Save a search and get email alerts when a new policy change matches your filters: daily or weekly, your choice, on every plan.