Evaluation and Management: Preventive Medicine Services (Bonus Q&A) (December 2014)

December 2014 page 18 Evaluation and Management: Preventive Medicine Services Question: How is the extent of preventive care evaluation and management (E/M) services determined? Answer: The extent and focus of the services will depend largely on the age of the patient. For example, an E/M preventive service for a 28-year-old woman may include performing a pelvic examination, breast examination, and blood pressure check, and obtaining a Pap smear. Counseling is provided regarding diet and exercise, substance use, and sexual activity. On the other hand, an E/M preventive service for a 13-year-old girl who is an established patient may include...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article provides a short question-and-answer discussion of preventive medicine evaluation and management services in the CPT context. It focuses on how the scope of a preventive visit can vary by patient age and general clinical context, making it relevant to coders, auditors, and clinicians who work with preventive care documentation.

Why This Topic Matters

Preventive medicine services are documented differently from problem-oriented visits, so understanding the broad scope of these encounters helps support accurate review of preventive care documentation.

Article Sections

  1. December 2014 page 18

    A brief Q&A on preventive medicine evaluation and management services. The discussion uses age-based examples to illustrate the breadth of preventive care encounters.

What You Will Learn

  • How preventive medicine E/M services are generally framed in CPT guidance
  • How patient age influences the scope of a preventive visit
  • What broad types of assessment and counseling may be part of preventive care encounters
  • How preventive services are discussed for pediatric and adult patients

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance staff
  • Physicians and advanced practice clinicians
  • Revenue cycle professionals

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