I am needing some direction on coding for sports/school physicals. I know the dx would be V70.3, but should the appropriate age related preventative CPT be used or do we submit with an office visit code and append a modifier 33? If the preventative CPT is used it could be denied since the child has probably already had their annual exam. I have heard that some pediatricians set a cash price for physicals since this can be an issue with insurance. Thanks for any advice.