99386
CPT Code 99386- Initial comprehensive preventive medicineevaluation 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, New patient; 40-64 years.
Yes, you can bill 99204 (an office or other outpatient visit for the evaluation and management of a new patient) and 99386 (a preventive medicine evaluation and management service for new patients) together, provided that they are for distinct and separate services performed on the same date. It's essential to ensure that the documentation clearly supports both services, and appropriate modifiers may be needed to indicate that they are separate encounters. Be sure to verify with current payer guidelines, as policies can vary.
Per CPT Assistant, October 2006, both CPT codes would be reported as for a new patient. The 99214 is incorrect per this instruction.
Established Patient 99395 / 18-39 years old 99396 / 40-64 years old 99397 / 65 years and older New Patient 99385 / 18-39 years old 99386 / 40-64 years old 99387 / 65 years and older
There are two major problems in answering this question. The first problem is that there are infinitely polynomials of order 7 that will give these as the first seven numbers and any one of these could be "the" rule. There are also non-polynomial solutions. Short of reading the mind of the person who posed the question, there is no way of determining which of the infinitely many solutions is the "correct" one. The second problem is that you have not specified where, in the sequence the missing number should have been. If the missing number was the last, the simplest polynomial rule of order 6 ist(n) = (-36*n^6 + 854*n^5 - 7945*n^4 + 36680*n^3 - 87299*n^2 + 99386*n - 39600)/120 for n = 1, 2, 3, ... and, accordingly the next number is -396. If missing number was the first, the simplest polynomial rule of order 6 is different and the first number is 330.