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preventative medicine, age 40-64
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What is Medical Service Code 99396?
preventative medicine, age 40-64
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.
Can you bill a procedure code 99396 with a diagnosis code V70.0 and get paid?
Yes.
What is the CPT code for a work physical other than 99429?
99396
What does CPT code 99396 stand for?
Periodic comprehensive preventive medicine
What is 99396 medical code mean?
The medical code 99396 refers to a comprehensive preventive medicine evaluation and management service for an established patient aged 40 to 64 years. This service typically includes a thorough history, examination, and counseling on health maintenance and disease prevention. It is often used during routine check-ups to assess the patient's overall health and address any potential health concerns.
Can procedure code 99396 and 99213 be billed on same date of service?
Procedure codes 99396 and 99213 can be billed on the same date of service if the services meet the criteria for separate and distinct encounters. Code 99396 is typically for a preventive medicine consultation, while 99213 is for an established office visit that may involve a problem-focused evaluation. Proper documentation is essential to justify the medical necessity of both services. It's advisable to check with specific payer guidelines, as they may have additional requirements for billing both codes together.
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.
What is 99396?
99396 is a code used in the Current Procedural Terminology (CPT) system, which is maintained by the American Medical Association. It specifically refers to a preventive medicine evaluation and management service for an established patient, typically involving a comprehensive exam and counseling. This code is often used for patients aged 40 to 64 years. It helps healthcare providers bill for services related to routine check-ups and preventive care.
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.
Cpt code for a 40-year old established patient presents to the physician office for a preventive care exam?
99396
What order do the cpt 99212 and 99396 go in?
CPT code 99212 is used for an established patient office visit that requires a low level of medical decision-making, while CPT code 99396 is for a periodic comprehensive preventive medicine evaluation and management for an established patient. When documenting services, the order typically follows the nature of the visit, so if both codes are applicable, you would list the preventive visit (99396) first, followed by the problem-focused visit (99212), provided both services were performed during the same encounter. However, the specific order may depend on the context of billing and payer guidelines.
