AMA CPT® Assistant - 2002 Issue 5 (May)
Preventive Medicine Services (May 2002)
May 2002 pages 1-4 Preventive Medicine Services The definition of "comprehensive" in relation to the preventive medicine services codes has been a source of some misunderstanding. For that reason, revisions were made in CPT 2002 to help clarify or differentiate the "comprehensive" nature of the examination associated with preventive medicine E/M services codes 99381-99397 from the "comprehensive" examination for other E/M services codes (eg, 99204, 99205, 99215). The preventive medicine services guidelines were revised in 2002 to clarify that the comprehensive nature of the examination associated with preventive medicine codes 99381-99397 reflects an age and gender appropriate history/exam, which...
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Article Overview
This article covers the 2002 CPT revisions and guidance for preventive medicine evaluation and management services across age groups. It is useful for coders, billers, and compliance staff who need to understand how the preventive medicine framework differs from problem-oriented E/M services, how related ancillary services are handled, and how the article’s clinical examples illustrate the broader reporting context.
Why This Topic Matters
The article addresses common areas of confusion in preventive medicine coding and explains the relationship between preventive visits, separately reported ancillary services, and concurrent problem-oriented E/M services. It helps readers interpret the 2002 guidance in a way that supports accurate claim reporting and documentation review.
Article Sections
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May 2002 pages 1-4
Introduces the article’s time frame and source context.
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Preventive Medicine Services
Explains the 2002 guidance for preventive medicine E/M services, including the general scope of the service, related ancillary reporting, and the relationship to other E/M services.
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New Patient
Presents a preventive medicine example for an initial visit and identifies the general coding context discussed with it.
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Established Patient
Presents a preventive medicine example for a periodic visit and identifies the general coding context discussed with it.
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Clinical Vignettes for Preventive Medicine Services
Introduces example scenarios used to illustrate preventive medicine reporting in different clinical settings.
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Gynecology, Family Practice and Internal Medicine
Discusses a women’s health example that combines preventive medicine with a separately addressed problem-oriented service.
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Discussion
Summarizes the reporting considerations associated with the gynecology example and related diagnosis coding context.
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Family Practice and Internal Medicine
Describes a periodic preventive medicine example involving ongoing medical conditions and concurrent evaluation and management services.
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Discussion
Summarizes the reporting considerations associated with the established-patient internal medicine example and related diagnosis coding context.
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Pediatrics and Family Practice
Presents a pediatric preventive medicine example that also includes additional problem-oriented evaluation and treatment.
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Discussion
Summarizes the reporting considerations associated with the pediatric example and related diagnosis coding context.
What You Will Learn
- How the article frames the 2002 preventive medicine CPT revisions
- How preventive medicine services are distinguished from problem-oriented E/M services
- How the article discusses separately reported ancillary services in the preventive medicine setting
- How the clinical vignette sections are used to illustrate preventive medicine reporting concepts
- How the article presents the general relationship between preventive visits and concurrent evaluation and management services
Who Should Read This
- Medical coders
- Medical billers
- Coding auditors
- Compliance staff
- Physician practice administrators
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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