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