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Thread: Preventive code guidelines

  1. #1
    Join Date
    Apr 2007

    Default Preventive code guidelines

    AAPC: Back to School
    For Health maintenance visit V70.0 with 993XX how many elements we need on Exam??(Primary care Physician)

    Thank U

  2. #2
    Join Date
    Apr 2007
    North Carolina



    It's my understanding that the provider can use his/her discretion. Some influential factors will be age, past medical history, family history, etc. CPT states that "the comprehensive nature of the preventive medicine services (99381-99397) reflects an age/gender appropriate history/exam and is not synonymous w/ the "comprehensive" exam required in E/M mgmt codes 99201-99350. The distinction between an office visit (new v/s established, 99201-99215) versus a preventive exam is that the office visit codes are motivated by a problem oriented complaint. As a result, the preventive exam isn't driven by the E/M guidelines; however, they are a good guide (i.e. the genitourinary exam). Medicare, on the other hand, does provide a layout of what is expected for the "Welcome to Medicare" exam.

    Physical Examination

    Obtain the following:

    •Height, weight, and blood pressure
    •Visual acuity screen
    •Measurement of body mass index (required effective January 1, 2009)
    Other factors deemed appropriate based on the individual’s medical and social history and current clinical standards

  3. #3
    Join Date
    Apr 2007


    thak U Rebecca

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