CPT^® 99384, Under New Patient

The Current Procedural Terminology (CPT^®) code 99384 as maintained by American Medical Association, is a medical procedural code under the range - New Patient.

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Summary

The provider performs a well–patient visit for an adolescent who is between the ages of 12 and 17 who meets the definition of new patient.

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S0612 vs Q0091(Gynecology/pap smear code)

99384-99397 should be used for comprehensive preventive evaluation and management services. ie 99386: Initial comprehensive preventive medicine evaluation and management of an individual including a... [ Read More ]

S0612 vs Q0091(Gynecology/pap smear code)

[QUOTE="csperoni, post: 510353, member: 164618"] I usually bill gynonc, not well woman, but I may be able to provide some advice. 1. Q0091 is specifically for the PAP collection, not for the pelvic/br... [ Read More ]

S0612 vs Q0091(Gynecology/pap smear code)

I usually bill gynonc, not well woman, but I may be able to provide some advice. 1. Q0091 is specifically for the PAP collection, not for the pelvic/breast or a complete preventative exam. Medicare c... [ Read More ]

well woman G0101

[QUOTE="klapetri@ilovemygyn.com, post: 502336, member: 543515"] OBGYN -NY We have been receiving denials from Emblem Health for cpt codes 99384-99397 stating G0101 must be billed. Per my provider rep... [ Read More ]

behaviour health question

hello all, can licensed counsellor use H0004/H0031 code for behavior health counselling or psychotherapy? or they have to use 99384-99387 codes? thank you... [ Read More ]

Fidelis/Medicaid Gyn

[QUOTE="mnuhfer04, post: 483828, member: 652044"] Hi all, I am a new coder/biller for a primary care office who also does GYN services. I'm hoping someone will be able to help me clarify this for me. ... [ Read More ]

well woman G0101

Thanks for the reply. Yes I'm aware G0101 is for Medicare members every two years unless high risk. My question is has anyone heard of commercial payers i.e. Emblem Health requiring ob/gyn to bill G... [ Read More ]

well woman G0101

OBGYN -NY We have been receiving denials from Emblem Health for cpt codes 99384-99397 stating G0101 must be billed. Per my provider rep. Emblem Health August 2021 "In the know" Medicare patients for ... [ Read More ]

New Patient Initial Comprehensive

Per BCBS rep called and stated an claim should have been billed as an office visit to established not a wellness. However, this visit is coded 99384 for adolescent which states in the guidelines New P... [ Read More ]

Question-OB/GYN Preventive checkup for patient under 18

[QUOTE="mckaya, post: 494683, member: 191283"] Thank you for the feedback. Procedure code 99384 and 99385 are not a payable under Texas Medicaid fee schedule for wellness visit by an OB/GYN which pro... [ Read More ]

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