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What else can I help you with?
Can you use 25 mod with 99396?
what.
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 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 Medical Service Code 99396?
preventative medicine, age 40-64
Can you bill a procedure code 99396 with a diagnosis code V70.0 and get paid?
Yes.
Cpt code for a 40-year old established patient presents to the physician office for a preventive care exam?
99396
What is the price for cpt code 99396?
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.
Does cpt code 99396 require a 59 modifier?
Modifier 59 is used to represent a different session or patient encounter, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same physician. You would not use modifier 59 on an E&M service such as 99396.
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.
When billing both 99214 and 99396 should a modifier 25 be used?
Yes, a modifier 25 should be used when billing both 99214 (an office visit) and 99396 (a preventive medicine service) on the same day. Modifier 25 indicates that a significant, separately identifiable evaluation and management service was performed on the same day as a preventive service. This helps to clarify to payers that the office visit was necessary beyond the routine preventive care provided. Always ensure that documentation supports the use of this modifier.
