| Program Name: | BadgerCare Plus and Medicaid | Handbook Area: | HealthCheck (EPSDT) | | 01/17/2026 | Covered and Noncovered Services : CodesTopic #2410 Modifiers
The following table lists the allowable modifiers for HealthCheck services.
| Modifier |
Description |
Allowable Procedure Codes |
Allowable Providers |
| UA* |
Comprehensive HealthCheck screen results in a referral or follow-up visit for diagnostic or corrective treatment |
99381–99385 and 99391–99395 |
All HealthCheck providers, including HealthCheck nursing agencies |
| EP |
Service provided as part of Medicaid early periodic screening diagnosis and treatment (EPSDT) program |
99211–99215, T1017, and T1016 |
HealthCheck nursing agencies only |
| T1002 and T1029 |
Local health departments only |
| TS |
Follow-up service [for lead clearance investigation] |
T1029 |
Local health departments only |
*Modifier UA is a national modifier that is state defined. |