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Code 99420

  1. #1
    Default Code 99420
    Exam Training Packages
    Can someone please define the purpose of CPT code 99420 and provide me an example of when you would use this code? Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Coder

  2. #2
    Default
    Is this some sort of health assessment?
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Coder

  3. #3
    Default
    Any takers?
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Coder

  4. #4
    Location
    Kingsport, TN
    Posts
    149
    Smile 99420
    We use the code for Health Risk Analysis/Assessment. This is a questionnaire requiring specific data. A nurse gets the patient height, weight and vitals. An example of the info requested is, smoker, current, past, how long, how much, race, family history questions etc... This information is then entered into the data base (Systoc) and a report is generated pinpointing certain health risks based on the information provided.

  5. #5
    Default
    Thanks so much!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Coder

  6. #6
    Default code 99420
    can this code be used for positional apnea car seat assessment test??

  7. Default
    Can I use this code for a RESIDENTIAL RETIREMENT FACILITY ADMISSIONS EVAL ?

  8. #8
    Default Help w/99420 and Prev Services
    Can we do a Prev Service (CPE) w/99420 (Administration and interpretation)?
    Would you add Modifier 25 to the CPE?
    We are having insurance carriers requiring the 99420 and our doctors do not get any WRVU’s for this service. I was wondering the amount of work involved a little more and this would constitute a CPE.

  9. Default CPT code 99420HD
    Can someone please define the purpose of CPT code 99420 with modifier HD and provide me an example of when you would use this code? Thanks.
    __________________

  10. Default 99420
    Scenario: Initial office visit for a 65‐year old male who
    presents with recurring episodes of anxiety and fatigue
    over the past three months. In the course of a detailed
    history and examination, m3 screen is administered and
    interpreted. Medical decision making is of low
    complexity; approximately 30 minutes are spent face‐toface
    with the patient. Patient is requested to return in 30
    days for a follow‐up visit.
    CPT Code #1: 99203‐25 – New patient, level 3 office visit,
    appended with modifier “25”
    ICD‐9 Code #1: 309.28 ‐ Adjustment disorder with mixed
    anxiety & depressed mood
    CPT Code #2: 99420 ‐‐ Administration and Interpretation
    of Health Risk Assessment
    ICD‐9 Code #2: V79.0 ‐ Special screening for depression

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