Wiki Anticipatory Guidance, guidance

[Jlokloski]

Preventive visits states documentation includes counseling/anticipatory guidance/ risk factor reduction interventions. What specific physician documentation should there be to indicate anticipatory guidance? Would this qualify?

Blue is the providers additions:

Recommendations for this patient's age were placed in the context of the personal and family history.
Chronic conditions were reviewed and new concerns addressed.


Health Maintenance:
Colon cancer (age): 01/18/2023
Prostate cancer screening (age, grade C recommendation-shared decision making): Done
AAA screening (age, once in a lifetime for past smokers): No
Flu vaccine-Recommend: Annually
Tdap-Last: Today. Next Due: 10 years
Shingrix (age): Complete
Prevnar 13: Only if high risk
Pneumovax 23 (age): Age 65
Hepatitis C screening: Ordered
Low-dose chest CT (age w/20 pack year history current smoker or quit within last 15 years: N/A

Thank you for any advice.

 

[Patrusheva]

Please refer to AAFP - American Academy of Family Physicians website for

Documenting and Coding Preventive Visits: A Physician’s Perspective​

https://www.aafp.org/pubs/fpm/issue...isit codes 99381-99397,the use of modifier 25.

 

[Pam Warren]

Anticipatory guidance is going to be patient-specific. It refers to the patient/provider discussions related to any preventive or risk-reduction advice as relevant to the patient's current lifestyle. For example, I am a stained glass artist and my PCP recommends I be tested for serum lead periodically.