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Does Medicare cover routine yearly exams?

  1. #1
    Location
    Salt Lake North
    Posts
    693
    Cool Does Medicare cover routine yearly exams?
    Medical Coding Books
    65+ year old patient that came in for a routine phsical. Does Medicare cover that? I know that they have a "Welcome to Medicare" physical but do they pay for routine ones too? Thanks for your help.

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    No... "A preventive medicine service (CPT codes 99381-99397) is a noncovered service"

    http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf

    Page 40

    See Chapter 18 for payment for covered preventive services.

    http://www.cms.hhs.gov/manuals/downloads/clm104c18.pdf

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