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99397 is the cpt code for an established patient routine/preventative exam (physical) age 65+

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Q: What is medical service code 99397?
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Why is medical service code 99397 not paid for?

The physical exam (code 99397) has never been covered by Medicare. Further, the Medicare Annual Wellness Visit (AWV) services clearly do not include an exam.


What is medical billing code 99397?

CPT Code 99397- Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older


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The medical service code of 450 is the revenue code for the hospital. 451 is used for the claim, which is also the part in revenue code.


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