I have a patient that is 13 years old and he comes in for his wcc plus the provider filles out his sports pe form. Provider does a full WCC exam. I coded a 99394 and V20.2. Premera is stating that we can only bill for a Routine exam if imms are given. Patient did not require imms at this time. Is there a different cpt code that I can use instead of the 99394 or is it the card members responsiblility to know what their ben's are? Any advise would be wonderful.