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Thread: Preventive Med Svcs 99381-99397

  1. #1

    Arrow Preventive Med Svcs 99381-99397

    AAPC: Back to School
    I work for a payer that states the vision, hearing, developmental services are inclusive to the CPT codes for Preventive Med; well child visit. Per 2009 CPT they can be separated out and charged. Are they inclusive?

  2. #2
    Join Date
    Apr 2007
    Gulf To Bay, Clwtr FL


    no they are not inclusive by CPT guidlines, but unfortunately commerical payers do not have to adhear to those guidlines.

  3. #3


    I have 99173 and 92551 that are being billed along with the preventative (99383 etc). Sometimes they get paid and sometimes they do not. Would you suggest that I bill them to all payers and see who will pay and who doesn't?

  4. #4
    Join Date
    Apr 2007
    Santa Rosa


    My biller is asking if there is a need to append Modifier -51 and/or Modifier -25 to either of these codes?

    Heidi Thompson, CPC

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