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Documentation for Preventive Exams


Best answers
We are encountering providers who are mixing the '95 body area/organ system exam with the '97 “bullet” exam on preventive medicine visits. We have asked several sources if we can (and how) to give the providers credit for doing both and are getting inconsistent responses. What is your opinion on this and do you have sources you can refer us to clarify.


Lisa Bledsoe

True Blue
Greeley, Colorado
Best answers
Since Preventive exams are not based on the exam requirements of an E/M, I'm not sure that there is an issue. According to CPT guidelines, the Preventive Medicine visits "reflect an age and gender appropriate history/exam and is NOT synonymous with the "comprehensive" examination required in E/M codes".