Procedure code 99396 is used for a periodic comprehensive preventive medicine evaluation and management for an established patient aged 40-64 years. Whether it can be used for Ambetter insurance depends on the specific plan and its coverage policies. It's essential to verify with Ambetter or consult the insurance provider's guidelines to ensure proper billing and reimbursement for this code. Always confirm that the service meets the criteria for preventive care under the patient's plan.
Ambetter typically covers preventive services, including certain evaluations and screenings, which may encompass medical code 99396 (a periodic comprehensive preventive medicine evaluation and management service for established patients). However, coverage can vary by plan and state, so it's essential to verify specific benefits with Ambetter directly or consult your healthcare provider for confirmation. Always check for any required prior authorizations or criteria that need to be met for coverage.
Yes.
99396 is a CPT code, not an ICD9 code. The ICD9 code you use will depend on the condition or reason for the visit.
99396
preventative medicine, age 40-64
Periodic comprehensive preventive medicine
preventative medicine, age 40-64
The CPT code 99396 is used for a periodic comprehensive preventive medicine evaluation and management of an established patient, specifically for patients aged 40-64 years. The appropriate diagnosis code to accompany this procedure would typically depend on the specific health concerns or conditions being addressed during the visit, such as Z00.00 for an adult routine examination. Always consult the latest coding guidelines and payer policies for accurate coding practices.
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insurance biller
Yes, the CPT code 99396, which is used for a preventive medicine visit for established patients, requires a diagnosis code. Typically, this would be a code indicating the purpose of the visit, such as a routine check-up or other preventive care. It's important to ensure that the diagnosis code aligns with the services provided during the visit for proper billing and coding compliance.
The Dental Procedure code 302740 refers to a specific dental service, typically associated with a particular treatment, procedure, or service provided by a dentist. However, the exact description and application of this code can vary by dental insurance plans and coding systems. It is advisable to consult the American Dental Association's Current Dental Terminology or specific insurance provider guidelines for detailed information regarding this code.