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-   -   Code 99420 (http://www.aapc.com/memberarea/forums/showthread.php?t=13633)

dballard2004 02-18-2009 07:30 AM

Code 99420
Can someone please define the purpose of CPT code 99420 and provide me an example of when you would use this code? Thanks.

dballard2004 02-19-2009 06:34 AM

Is this some sort of health assessment?

dballard2004 02-20-2009 12:44 PM

Any takers?

kmhall 02-20-2009 01:17 PM

We use the code for Health Risk Analysis/Assessment. This is a questionnaire requiring specific data. A nurse gets the patient height, weight and vitals. An example of the info requested is, smoker, current, past, how long, how much, race, family history questions etc... This information is then entered into the data base (Systoc) and a report is generated pinpointing certain health risks based on the information provided.

dballard2004 02-20-2009 02:49 PM

Thanks so much!

toiwalker 08-04-2010 05:53 PM

code 99420
can this code be used for positional apnea car seat assessment test??

Linda Poulos 10-22-2010 02:28 PM


ldusek 11-21-2011 09:29 AM

Help w/99420 and Prev Services
Can we do a Prev Service (CPE) w/99420 (Administration and interpretation)?
Would you add Modifier 25 to the CPE?
We are having insurance carriers requiring the 99420 and our doctors do not get any WRVU’s for this service. I was wondering the amount of work involved a little more and this would constitute a CPE.

etucker 03-15-2012 08:06 AM

CPT code 99420HD
Can someone please define the purpose of CPT code 99420 with modifier HD and provide me an example of when you would use this code? Thanks.

joann4_2000 04-04-2012 10:28 AM

Scenario: Initial office visit for a 65‐year old male who
presents with recurring episodes of anxiety and fatigue
over the past three months. In the course of a detailed
history and examination, m3 screen is administered and
interpreted. Medical decision making is of low
complexity; approximately 30 minutes are spent face‐toface
with the patient. Patient is requested to return in 30
days for a follow‐up visit.
CPT Code #1: 99203‐25 – New patient, level 3 office visit,
appended with modifier “25”
ICD‐9 Code #1: 309.28 ‐ Adjustment disorder with mixed
anxiety & depressed mood
CPT Code #2: 99420 ‐‐ Administration and Interpretation
of Health Risk Assessment
ICD‐9 Code #2: V79.0 ‐ Special screening for depression

corikr77 06-27-2013 12:38 PM

Would 99420 be used for the biometric screening forms/appts?

kmhall 06-27-2013 12:49 PM

I don't think so. I can see where you might think so but biometrics is used for statistical data not health "risks". That is just my opinion.;)

svea33 06-28-2013 11:42 AM

I know that this code can be used for the post partum depression screening for new moms. But can this be billed under the newborn or does it have to be under the mother?

kmhall 06-28-2013 12:09 PM

It would make more sense to bill under the mother but I'm not sure what the rules are. Maybe someone else can answer that. Sorry.

patel 02-27-2015 07:54 AM

99420 with dx v79.0 humana and united health care denied as dx invalid which dx we can use? pt is not in depression yet we would like ot screen in post period

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