• linkedin
  • Increase Font
  • Sharebar

    What you need to know about a comprehensive exam for a physical

     

    These visits differ from other visits where the patient has a problem for which medical attention is sought. The age, gender and associated risk factors of the patient are important considerations while providing a preventive medicine service.

    The provider uses these factors to guide taking the patient history, performing the examination and making a thorough assessment of age and gender–related risk factors. Codes 99381-99397 include counseling/anticipatory guidance/risk factor reduction interventions which are provided at the time of the initial or periodic comprehensive preventive medicine examination.

    The “comprehensive” nature of the Preventive Medicine Services codes 99381-99397 reflects an age and gender appropriate history/exam and is not synonymous with the “comprehensive” examination required in Evaluation and Management codes 99201-99350. So, your exam is sufficient to bill the preventive medicine service. Just check the age of the patient to bill this section of codes.

    Suggestion: If the physician found something abnormal during the preventive service and performed the above-mentioned exam for that specific condition, then in addition to preventive service the physician also can bill office visit from the section 99201-99215 with Modifier 25.

    0 Comments

    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • No comments available

    Latest Tweets Follow

    Poll