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This is an educational tool, not meant to be viewed as coding or billing guidelines. Preventive Medicine Coding and Billing Info Telehealth applicable codes will be indicated with a phone icon. Click on the topic you’re interested in below to view the information for it. You can also scroll down to review all topics. To see published recommendations according to population/grade per U.S. Preventive Services Task Force click here Preventive Medicine TopicsAlcohol Misuse Screening & Counseling Guidelines for Alcohol Misuse Screening & Counseling Annual Wellness Visit Guidelines for Annual Wellness Visits Bone Mass MeasurementsGuidelines for Bone Mass Measurements Cardiovascular Disease Screening TestsGuidelines for Cardiovascular Disease Screening Tests Colorectal Cancer ScreeningGuidelines for Colorectal Cancer Screenings Counseling to Prevent Tobacco Use Guidelines for Counseling to Prevent Tobacco Use Depression Screening Guidelines for Depression Screenings Diabetes ScreeningGuidelines for Diabetes Screenings Diabetes Self-Management Training Guidelines for Diabetes Self-Management Training Glaucoma ScreeningGuidelines for Glaucoma Screenings Hepatitis B Virus ScreeningGuidelines for Hepatitis B Virus Screening HBV Vaccine & AdministrationGuidelines for Hepatitis B Virus Vaccine & Administration Hepatitis C Virus ScreeningGuidelines for Hepatitis C Virus Screenings HIV ScreeningGuidelines for Human Immunodeficiency Virus Screenings IBT for Obesity Intensive Behavioral Therapy for Obesity IBT for Cardiovascular Disease Guidelines for Intensive Behavioral Therapy for Cardiovascular Disease Influenza Virus Vaccine & AdministrationGuidelines for Influenza Virus Vaccine & Administration Initial Preventive Physical ExaminationGuidelines for Initial Preventive Physical Examination Lung Cancer ScreeningGuidelines for Lung Cancer Screenings Medical Nutrition Therapy Guidelines for Medical Nutrition Therapy Medicare Diabetes Prevention ProgramMedicare Diabetes Prevention Program Expanded Model Pneumococcal Vaccine & AdministrationGuidelines for Pneumococcal Vaccine & Administration Prolonged Preventive Services Guidelines for Prolonged Preventive Services Prostate Cancer ScreeningGuidelines for Prostate Cancer Screenings Screening for Cervical CancerGuidelines for Screening for Cervical Cancer Screening for STIs and HIBC to Prevent STIsGuidelines for Screening for STIs and High Intensity Behavioral Counseling to Prevent STIs Screening MammographyGuidelines for Screening Mammographies Screening Pap TestsGuidelines for Screening Pap Tests Screening Pelvic ExaminationGuidelines for Screening Pelvic Examination Ultrasound Screening for AAAGuidelines for Ultrasound Screening for Abdominal Aortic Aneurysm Additional Links and ResourcesPreventive and Screening ServicesCh. 18 Medicare Claims Processing Manual Preventive Medicine ArticlesClick the article title to view a summary and link to the full article. Vaccine Administration - When The Right Vaccine Code is Not EnoughSeptember 30th, 2019 | Published September 30th, 2019 Understanding how to apply immunization administration codes properly will support correct reimbursement for vaccinations. Reporting the right vaccine code alone is not enough to guarantee proper billing. The majority of the time, providers can charge for the vaccine/product as well as the administration of the vaccine; always consult your payer ... CMS: Medicare Diabetes Prevention Program Expanded ModelNovember 1st, 2018 | Published November 1st, 2018 CMS announces the Medicare Diabetes prevention program is now a new covered service. Per a recent MLN news release. Medicare Beneficiaries will be notified in 2019 in a Medicare handout. Diabetes affects more than 25 percent of Americans aged 65 or older, and its prevalence is projected to increase approximately... Understanding the Level of Preventative Services (Grades and Suggestions)July 17th, 2018 | Published July 17th, 2018 It is essential for providers, clinicians, and other users to understand the importance of providing preventative services. The U.S. Preventative Services Task Force (USPSTF) has recommendations and has applied Grade Definitions as a suggested resource to imply the significance and strength of preventative services. The following definitions apply to recommendations ... New on our TOPICS Page - "Preventive Medicine Coding and Billing Information"June 7th, 2018 | Published June 7th, 2018 There is a lot of information available for you to utilize on our Topics pages. We have recently added a Preventative Medicine TOPICS page (under subjects), as per customers' request, for searching Preventative Codes. We're made it easy to locate services required under the Affordable Care Act for reporting preventive services. ... AMA vs Medicare rules and the use of the PT modifierMay 22nd, 2018 | Published May 22nd, 2018 Be sure to review the specific payer policy you are submitting claims to. Medicare’s policy requires the use of a different code when a screening colonoscopy becomes a diagnostic procedure requiring you to bill with CPT code 00811 when treating a Medicare Beneficiary. The use of the PT modifier is ... Preventive Medicine: General ProceduresMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update July 30th, 2018 Preventive Medicine Topics Page
General Procedures
Procedure Codes 36415: Collection of venous blood by venipuncture 90471: Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) 90472: Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List ... Preventive Medicine: Links and ResourcesMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update July 30th, 2018 Back to Topic Page
References
Kaiser Permanentehttps://provider.ghc.org/open/coverageAndEligibility/groupHealthPlans/preventive-services-guidelines.pdf
Medicare Learning Networkhttps://www.cms.gov/Medicare/Prevention/PrevntionGenInfo/Downloads/MPS-QuickReferenceChart-1TextOnlywithICD9.pdf
AAFP - ICD-10 Simplifies Preventive Care Coding, Sort Of - Cindy Hugheshttps://www.aafp.org/fpm/2014/0700/oa1.html
List of ACA Preventive Services and CPT Codes - STDshttp://stdtac.org/wp-content/uploads/2014/06/List-of-ACA-Preventative-Services-and-CPT-Codes-_STDTAC.pdf
Additional Links and Resources
ACA guidelines as per healthcare.govhttps://www.healthcare.gov/coverage/preventive-care-benefits/
Preventive Medicine Listhttps://www1.ghc.org/static/pdf/public/formulary/aca-list.pdf
... Preventive Medicine: Alcohol Misuse Screening & CounselingMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update July 30th, 2018 Preventive Medicine Topics Page
// Alcohol Misuse Screening and Counseling
Procedure Codes G0442: Annual alcohol misuse screening, 15 minutes G0443: Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes 99408: Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; 15 to ... Preventive Medicine: Screening for AnemiaMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Screening for Anemia
Procedure Codes 85004: Blood count; automated differential WBC count 85014: Blood count; hematocrit (Hct) 85013: Blood count; spun microhematocrit 85018: Blood count; hemoglobin (Hgb) 80055: Obstetric panel
ICD-10-CM 85004, 85013-85014, 85018: Z00.121, Z00.129, Z00.110, Z00.111, Z13.0 80055, 85004, 85014, 85013: O00.0-O03.9, O08.0-O08.9, O09.00-O09.93, O10.011-O16.9, ... Preventive Medicine: Annual Wellness VisitMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Annual Wellness Visit
Procedure Codes G0438: Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0439: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 99385: Initial comprehensive preventive medicine evaluation and management of an individual including ... Preventive Medicine: Bone Mass MeasurementsMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Bone Mass Measurements
Procedure Codes G0130: Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) 76977: Ultrasound bone density measurement and interpretation, peripheral site(s), any method 77078: Computed tomography, bone mineral density study, 1 or more ... Preventive Medicine: Breast Cancer Genetic ScreeningMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Breast Cancer Genetic Screening
Procedure Codes 81211: BRCA1, BRCA2 (breast cancer 1 and 2) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants in BRCA1 (ie, exon 13 del 3.835kb, exon 13 dup 6kb, exon 14-20 del 26kb, exon 22 ... Preventive Medicine: Breastfeeding SuppliesMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Breastfeeding Supplies
Procedure Codes A4286: Locking ring for breast pump, replacement E0602: Breast pump, manual, any type E0603: Breast pump, electric (ac and/or dc), any type E0604: Breast pump, hospital grade, electric (ac and / or dc), any type S9443: Lactation classes, non-physician provider, per session
ICD-10-CM ... Preventive Medicine: Cardiovascular Disease Screening TestsMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Cardiovascular Disease Screening Tests
Procedure Codes 80061: Lipid panel. This panel must include the following:
Cholesterol, serum, total
Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol)
Triglycerides
82465: Cholesterol, serum, total 83718: Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) 84478: Triglycerides 83721: Lipoprotein, direct measurement; LDL cholesterol 83719: Lipoprotein, ... Preventive Medicine: Cervical Dysplasia ScreeningMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Cervical Dysplasia Screening
Procedure Codes 88141: Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician 88142: Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision 88143: Cytopathology, cervical or vaginal (any reporting system), collected ... Preventive Medicine: Colorectal Cancer ScreeningMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Colorectal Cancer Screening
Procedure Codes G0104: Colorectal cancer screening; flexible sigmoidoscopy G0105: Colorectal cancer screening; colonoscopy on individual at high risk G0106: Colorectal cancer screening; screening sigmoidoscopy, barium enema G0121: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0122: Colorectal cancer screening; barium ... Preventive Medicine: Contraceptive MethodsMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Contraceptive Methods
Procedure Codes A4261: Cervical cap for contraceptive use A4266: Diaphragm for contraceptive use A4264: Permanent implantable contraceptive intratubal occlusion device(s) and delivery system J7300: Intrauterine copper contraceptive J7301: Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg J7303: Contraceptive supply, hormone containing vaginal ring, each J7304: ... Preventive Medicine: Counseling to Prevent Tobacco UseMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Counseling to Prevent Tobacco Use
Procedure Codes 99406: Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes 99407: Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes
ICD-10-CM 99406-99407: No specific diagnoses
Frequency 99406-99407: 2 attempts a year, ... Preventive Medicine: Depression ScreeningMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Depression Screening
Procedure Codes G0444: Annual depression screening, 15 minutes 96127: Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument
ICD-10-CM G0444, 96127: No specific diagnoses
Frequency G0444:Once annually 96127: No specific frequency guidelines
Additional Information 96127
Only covered for ages ... Preventive Medicine: Diabetes ScreeningMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Diabetes Screening
Procedure Codes 82947: Glucose; quantitative, blood (except reagent strip) 82948: Glucose; blood, reagent strip 82950: Glucose; post glucose dose (includes glucose) 82951: Glucose; tolerance test (GTT), 3 specimens (includes glucose) 82952: Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to ... Preventive Medicine: Diabetes Self-Management TrainingMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Diabetes Self-Management Training
Procedure Codes G0108: DSMT, individual, per 30 minutes G0109: GDSMT, group (2 or more), per 30 minutes
ICD-10-CM G0108-G0109: Contact payer for more specific guidelines
Frequency G0108-G0109
Initial year: Up to 10 hours of initial training within a continuous 12-month period
Subsequent years: Up to 2 ... Preventive Medicine: Therapy for Fall PreventionMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Therapy for Fall Prevention
Procedure Codes 97110: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility 97112: Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, ... Preventive Medicine: Glaucoma ScreeningMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Glaucoma Screening
Procedure Codes G0117: Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist G0118: Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist
ICD-10-CM G0117-G0118: Z13.5
Frequency G0117-G0118: Once a year
Additional information G0117-G0118
Coverage as is indicated with ... Preventive Medicine: Hepatitis B Virus (HBV) Vaccine and AdministrationMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Hepatitis B Virus (HBV) Vaccine and Administration
Procedure Codes G0010: Administration of hepatitis b vaccine 90739: Hepatitis B vaccine (HepB), adult dosage, 2 dose schedule, for intramuscular use 90740: Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use 90743: Hepatitis ... Preventive Medicine: Hepatitis C Virus (HCV) ScreeningMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Hepatitis C Virus (HCV) Screening
Procedure Codes G0472: Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 87522: Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed 86804: Hepatitis C antibody; confirmatory test (eg, ... Preventive Medicine: Human Papilomavirus (HPV) Vaccine and ScreeningMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Human Papilomavirus (HPV) Vaccine and Screening
Procedure Codes 87623: Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) 87624: Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, ... Preventive Medicine: Influenza Virus Vaccine and AdministrationMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Influenza Virus Vaccine and Administration
Procedure Codes Q2034: Influenza virus vaccine, split virus, for intramuscular use (agriflu) Q2035: Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) Q2036: Influenza virus vaccine, split virus, when administered to individuals ... Preventive Medicine: Initial Preventive Physical ExaminationMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Initial Preventive Physical Examination (Medicare Only)
Procedure Codes G0402: Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0403: Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation ... Preventive Medicine: Medical Nutrition Therapy and Cardiovascular Disease (CVD)/Obesity PreventionMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Medical Nutrition Therapy and Cardiovascular Disease (CVD)/Obesity Prevention
Procedure Codes G0270: Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, ... Preventive Medicine: Lung Cancer ScreeningMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Lung Cancer Screening
Procedure Codes G0296: Counseling visit to discuss need for lung cancer screening (ldct) using low dose ct scan (service is for eligibility determination and shared decision making) G0297: Low dose ct scan (ldct) for lung cancer screening S8092: Electron beam computed tomography (also ... Preventive Medicine: Newborn Screenings/TestsMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Newborn Screenings/Tests
Procedure Codes 82775: Galactose-1-phosphate uridyl transferase; quantitative 83498: Hydroxyprogesterone, 17-d 82017: Acylcarnitines; quantitative, each specimen 82136: Amino acids, 2 to 5 amino acids, quantitative, each specimen 82261: Biotinidase, each specimen 83020: Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) 83021: Hemoglobin ... Preventive Medicine: Pneumococcal Vaccine and AdministrationMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Pneumococcal Vaccine and Administration
Procedure Codes G0009: Administration of pneumococcal vaccine 90670: Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use 90732: Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use
ICD-10-CM G0009, ... Preventive Medicine: Prostate Cancer ScreeningMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Prostate Cancer Screening
Procedure Codes G0102: Prostate cancer screening; digital rectal examination G0103: Prostate cancer screening; prostate specific antigen test (PSA)
ICD-10-CM G0102-G0103: Z12.5
Frequency G0102-G0103: Once annually
Additional Information G0102-G0103
Only for males aged 50 and older
G0102
Copayment and deductible may apply, consult your payer
Find-A-Code™ - Preventive Services - ... Preventive Medicine: Screening for STIs & HIBC to Prevent STIsMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Screening for STIs and High Intensity Behavioral Counseling (HIBC) to Prevent STIs
Procedure Codes 86592: Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) 86593: Syphilis test, non-treponemal antibody; quantitative 86631: Antibody; Chlamydia 86632: Antibody; Chlamydia, IgM 86780: Antibody; Treponema pallidum 87110: Culture, chlamydia, any source ... Preventive Medicine: Screening MammographyMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Screening Mammography
Procedure Codes 77052: Computer-aided detection (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation, with or without digitization of film radiographic images; screening mammography (list separately in addition to code for primary procedure) 77057: Screening mammography, bilateral ... Preventive Medicine: Screening Pap TestsMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Screening Pap Tests
Procedure Codes G0123: Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision G0124: Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation ... Preventive Medicine: Screening Gynecological ExaminationMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Screening Gynecological Examination
Procedure Codes G0101: Cervical or vaginal cancer screening; pelvic and clinical breast examination S0610: Annual gynecological examination; clinical breast examination without pelvic evaluation S0612: Annual gynecological examination, established patient S0613: Annual gynecological examination, new patient
ICD-10-CM G0101:Low risk patients - Z01.411, Z01.419, Z12.4, Z12.72, ... Preventive Medicine: Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)May 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)
Procedure Codes 76706: Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA) 76770: Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete 76775: Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real ... Preventive Medicine: Screening Children for Visual AcuityMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Screening Children for Visual Acuity
Procedure Codes 99173: Screening test of visual acuity, quantitative, bilateral
ICD-10-CM 99173: Z00.121, Z00.129, Z00.100, Z00.101
Frequency 99173: No specific frequency guidelines
Additional Information 99173
Not covered by Medicare for preventative care
Some policies will only cover as preventive for children, consult your payer
Find-A-Code™ - Preventive ... Preventive Medicine: Use of Modifier 33May 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
The Use of Modifier 33
Modifier 33 is used to indicate Preventive Services to report quality metrics and is informational only, it has no impact on reimbursement. Modifier 33 should be reported only to private payers, Medicare and Medicaid do not recognize this modifier.
... Preventive Medicine: Dental Caries in ChildrenMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 2nd, 2018 Preventive Medicine Topics Page
Dental Caries in Children
Procedure Codes 99188: Application of topical fluoride varnish by a physician or other qualified health care professional
ICD-10-CM 99188: No specific diagnoses
Frequency 99188: No specific frequency guidelines
Additional Information 99188
Covered for children from birth until their seventh birthday
Find-A-Code™ - Preventive Services - The information ... How to Code Screening and Diagnostic ColonoscopyFebruary 1st, 2018 | Published February 1st, 2018 The following information is from BC Advantage.
Colonoscopy is a common procedure performed byGastroenterologists. CPT defines a colonoscopy examination as "the examination of the entire colon, from the rectum to the cecum or colon-small intestine anastomosis, and may include examination of the terminal ileum or small intestine proximal to an anastomosis" ... Preventive Medicine with a New PatientJanuary 9th, 2018 | Published January 9th, 2018 When coding for preventive care, be sure to use the correct encounter code with the procedure as well as the appropriate modifier if required.
New Patient: A patient that has not received any professional services i.e., E&M or any other face to face service from the physician or group within the ... There are more articles. View all articles... View articles for the current subject by subtopic: Preventive Medicine TipsPreventive Medicine WebinarsClick the webinar title to view a summary and link to the webinar video. Proper Coding and Billing for Drugs, Biologicals and InjectionsJanuary 15th, 2019 Proper Coding and Billing for Drugs, Biologicals and Injections Plan networks and government plans are required to cover preventive services as required by the Affordable Care Act (ACA) at no cost to the patient. This covers numerous screenings, counseling and well visits to prevent illness, disease and health problems. Services are based on age, gender, and other health factors. This does not include diagnostic testing as this is not considered preventive. Preventive services must be performed by a covered provider, in-network and may be used to develop a wellness plan to keep the patient healthy. This page was created from a need to have all of the information in one place to accommodate Payers, Providers, Researchers, and others, suggestions and feedback are always welcome, please send it to us at Support@Findacode.com. The information covered on this page is informational only and not meant to be all-inclusive, always verify coverage with your payer. For more information about the Affordable Care Act visit HHS.gov |
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