Billing Correct code for Humana Preventive Visit

Norolyn7

Contributor
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Little Rock, Arkanas
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Hello everyone, I'm a fairly new coder and still struggle with differentiating what is acceptable with some Payors....Is it appropriate to bill Preventive codes to Humana:confused: Thanks for your feedback.......
 

mitchellde

True Blue
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Columbia, MO
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A preventive visit level code CPT and ICD-10 is the same code for all payers. Medicare uses a G code for what they term as a wellness visit. Most providers I work with do an annual and for Medicare use the G code for the wellness visit and call it done. Others prefer to use the G code for a wellness covering only what is required and then perform a separate preventive using the CPT code for preventive by age and it goes to patient responsibility.
 
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