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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.
What else can I help you with?
What is the CPT code for a work physical other than 99429?
99396
What does CPT code 99396 stand for?
Periodic comprehensive preventive medicine
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.
Can cpt 99396 and cpt 99214 be billed as the same time?
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.
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.
Cpt code for a 40-year old established patient presents to the physician office for a preventive care exam?
99396
What is medical code 99396?
preventative medicine, age 40-64
What is Medical Service Code 99396?
preventative medicine, age 40-64
What order do the cpt 99212 and 99396 go in?
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.
What does the Medical Code 99396?
A CPT code for: 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 (of age).
Can cpt 99396 has a modifer 25?
Yes, CPT code 99396, which is used for a periodic comprehensive preventive medicine evaluation and management of an established patient, can have modifier 25 appended. Modifier 25 indicates that a significant, separately identifiable evaluation and management service was performed on the same day as the preventive service. This is applicable when the physician provides additional services beyond the routine preventive visit, justifying the use of both codes for billing.
Does medicare pay cpt 99396?
Yes, Medicare typically covers CPT code 99396, which is used for a periodic comprehensive preventive medicine evaluation and management for an established patient aged 40-64. However, coverage may depend on the patient’s specific Medicare plan and whether the service is deemed medically necessary. It's important for healthcare providers to confirm coverage with Medicare or the specific Medicare Advantage plan being used.
