We do not cover these codes and Minnesota DHS does not allow them either.
My guess is they were developed to be used for those female patients that come in strickly for their gynecological examination and do not have any other examination completed instead of billing a complete preventive medicine visit.
My thought is that some payers would not want to pay for 99384 - 99386, or 99394 -99397 on a patient that only had a gyn exam.
As I see it though, per CPT guidelines:
The "comprehensive"nature of the Preventive Medicine Services codes 99281-00397 reflects an age and gender appropriate history/exam and is NOT synonymous with the "comprehensive" examination required in Evaluation and Management codes 99201-99350.
If a provider completes a gyn exam and feels it is age appropriate and does not complete a total head to toe exam, he/she should still be able to bill the preventive medicine CPT code.
I am sure though that there may be certain payers that will request in this situation the S codes are to be used.
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