Evaluation and Management: Preventive Medicine Services (August 2005)

August 2005 page 15-end Coding Consultation:Questions and Answers Evaluation and Management: Preventative Medicine Services, 99381, 99397 (Q&A) Question Is a pap, pelvic, and/or breast exam included in the appropriate preventive medicine service codes performed on the same date of service? Or should the pap, pelvic, and/or breast exam be reported in addition to the preventive medicine service codes (99381-99397)? AMA Comment The codes in the preventive medicine services include the ordering of appropriate immunization(s) and laboratory or diagnostic procedures. The performance of immunization and ancillary studies involving laboratory, radiology, other procedures, or screening tests identified with a specific...

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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 is a CPT Assistant coding Q&A focused on preventive medicine evaluation and management services. It discusses the scope of preventive medicine visits, how certain related preventive components are viewed within those services, and whether the preventive medicine code range is limited to particular specialties. The piece is useful for coders, billing staff, and clinicians who need to understand the general CPT guidance referenced for preventive medicine reporting in 2005.

Why This Topic Matters

Preventive medicine visits often include multiple components that may be documented together, and this article explains the general CPT framework surrounding those services. It also addresses a common specialty-reporting question, helping readers understand the scope of the preventive medicine code range and the role of payer-specific guidance.

Article Sections

  1. Coding Consultation: Questions and Answers

    Introduces the Q&A format used in the article and frames the coding questions addressed in the discussion.

  2. Preventive medicine service components and related exam reporting

    Discusses preventive medicine visit components and the general CPT treatment of associated preventive or ancillary services performed on the same date.

  3. Specialty reporting of preventive medicine codes

    Addresses whether preventive medicine services may be reported by specialists and describes the broad CPT concept of service reporting by qualified professionals.

What You Will Learn

  • How the article frames preventive medicine evaluation and management services in a Q&A format.
  • What broad types of preventive medicine visit components are discussed in relation to same-day reporting.
  • How the article addresses specialty use of the preventive medicine code range.
  • Which general organizations and coding sources are referenced in connection with the guidance.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Physicians and qualified health care professionals
  • Compliance teams

Codes Discussed

Code Ranges Discussed


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