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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.

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1mo ago

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Will ambetter pay for medical code 99396?

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.


Can you bill a procedure code 99396 with a diagnosis code V70.0 and get paid?

Yes.


What icd code should you use other than 99396 if patient is only 39 years old?

99396 is a CPT code, not an ICD9 code. The ICD9 code you use will depend on the condition or reason for the visit.


What is the CPT code for a work physical other than 99429?

99396


What is medical code 99396?

preventative medicine, age 40-64


What does CPT code 99396 stand for?

Periodic comprehensive preventive medicine


What is Medical Service Code 99396?

preventative medicine, age 40-64


What dx code for 99396?

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.


What is the CDT code for billing dental insurance for a ridge splitting bone graft procedure?

Cdt code for ridge split


Who is the person responsible for documenting the patients clinical notes and designing a diagnosis code and a procedure code for medical services?

insurance biller


Does 99396 require a diagnosis code?

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.


What is the Dental Procedure code 302740?

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.