I have a question regarding the billing of 99387/99397 (or 6 if age appropriate) to Medicare.
As an FQHC we are permitted to bill and get paid for these codes. Our office attended a webinar a couple of years ago where the presenter stated that we can use these for what is a traditional annual exam (different than the Medicare AWV), or for visits that are preventive in nature as opposed to problem based - like just checking in on a well managed, under control chronic condition when there are no complaints.
My question is: Is there a frequency limit to billing these preventive codes, 99387/99397, to Medicare like there would be with commercial insurances?
Thanks in advance,
Arrana Ashton, CPC
Outer Cape Health Services
Wellfleet, MA
As an FQHC we are permitted to bill and get paid for these codes. Our office attended a webinar a couple of years ago where the presenter stated that we can use these for what is a traditional annual exam (different than the Medicare AWV), or for visits that are preventive in nature as opposed to problem based - like just checking in on a well managed, under control chronic condition when there are no complaints.
My question is: Is there a frequency limit to billing these preventive codes, 99387/99397, to Medicare like there would be with commercial insurances?
Thanks in advance,
Arrana Ashton, CPC
Outer Cape Health Services
Wellfleet, MA