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.
what.
99396
preventative medicine, age 40-64
Periodic comprehensive preventive medicine
99396 is a CPT code, not an ICD9 code. The ICD9 code you use will depend on the condition or reason for the visit.
preventative medicine, age 40-64
Yes.
99396
CPT codes 99396 and 99214 can be billed on the same day if the services provided meet the requirements for both codes. CPT 99396 is for an established patient preventive medicine visit, while CPT 99214 is for an established patient office visit with a significant problem. When billing both, it's important to ensure that the documentation supports the medical necessity for each service, and that the preventive visit is distinct from the problem-focused visit. Always check payer policies for specific guidelines.
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.
CPT Code 99396 -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; 40-64 years.
CPT code 99396 refers to a periodic comprehensive preventive medicine evaluation and management service for established patients aged 40 to 64 years. This code is typically used for patients in this age range during their routine health check-ups. It includes a thorough review of health history, physical examination, and counseling on health-related topics.