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The CPT codes for a wellness visit are G0438 and G0439. MA plans no longer cover annual physical exams. The CPT codes for the annual physical exam are 99381-99397, 99401-99404, 99201-99205 and 99211-99215 with primary diagnosis of preventive.
Duplicative coding- Aetna Better Health of Kentucky views CPT code 87799 as a duplicate and unnecessary test when it is used as a part of panel testing. It is performing a similar test for the same thing twice while not producing results that would docHubly impact diagnosis and treatment.
99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter.
Comprehensive preventive medicine services include counseling, anticipatory guidance, and risk factor reduction strategies. They are typically distinct from disease-related diagnoses and entail a patient-specific history and physical examination. CPT preventive codes include 99381-99387 and 99391-99397.
Top 10 preventive medicine procedures in 2022 RankHCPCS/CPT codeHCPCS/CPT description899385Preventive visit for a new patient ages 18-39999386Preventive visit for a new patient between ages 40-64109940115 minutes of preventive counseling related to patients age, family history, and areas of concern7 more rows Feb 20, 2023
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