Yes, the CPT code 99396, which is used for a preventive medicine visit for established patients, requires a diagnosis code. Typically, this would be a code indicating the purpose of the visit, such as a routine check-up or other preventive care. It's important to ensure that the diagnosis code aligns with the services provided during the visit for proper billing and coding compliance.
Yes.
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
preventative medicine, age 40-64
Periodic comprehensive preventive medicine
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.
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.
Diagnosis Code
99396
There is no diagnosis code matching for 545.
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.