Wiki Billing Correct code for Humana Preventive Visit

[Norolyn7]

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 Thanks for your feedback.......

 

[mitchellde]

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.