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.
99396
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.
99396
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.
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.
Yes.
Medicare pays around $100.
You can check the cost here at this website,patients.about.com/od/medicalcodes/a/How-Cpt-Code-Changes-May-Cost...hope this helps!
CPT code 99396, which is used for a preventive medicine evaluation and management service for established patients, typically does not require a modifier unless there are specific circumstances that warrant one. For example, if the patient has a separate significant medical issue addressed during the visit, modifier 25 may be appropriate. It’s essential to review payer policies and guidelines to determine if any modifiers are necessary for billing in unique situations.
preventative medicine, age 40-64
The CPT code 99396 is used for a periodic comprehensive preventive medicine evaluation and management of an established patient, specifically for patients aged 40-64 years. The appropriate diagnosis code to accompany this procedure would typically depend on the specific health concerns or conditions being addressed during the visit, such as Z00.00 for an adult routine examination. Always consult the latest coding guidelines and payer policies for accurate coding practices.