Preventative CPT Codes — VIDEO

Ok everyone it looks like we made a mistake on our webinar and one of our students actually brought it to our attention so we are re-recording the preventative medicine answer key. Preventative medicine and Preventative CPT Codes starts with a range of 99381 to 99429. These are codes set aside for such visits when the patient is not really sick, they’re coming in for a check-up.

Preventative CPT Codes VIDEO

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Examples of that are going to be well- baby clinics physicals prescription, renewals sports physicals- anything that falls into that type of the category. Preventive medicine codes are again going be located in your evaluation and management section of the front of your CPT manuals. There’s three divisions for preventative medicine. You need to know is it a new patient, an established patient and the age of the patient.

When you see a comprehensive history in an exam it’s not the same thing when you’re dealing with regular E and M codes for comprehensive becasue it’s not a multi system exam that usually do with E and M codes. This is what preventative medicine and it’s based solely on age whether a new patient, established patient and the aged of the patient.

Now, while you’re doing preventative medicine if there’s additional work that’s involved the CPT guidelines are gonna state that if there’s a trivial problem or an abnormality that the Doctor encounters- you’re not going to report that. That’s going to be all going to be in the regular preventative medicine code.

On the other hand, if you have additional work that’s called for like the removal of a lesion then you do get to report that. And you’re gonna use a modifier 25 that will be added to that. Therefore any additional work that is done and you can use on a office visit uh… 99201 – 99215 and add the modifier25.

When we did this earlier I know Laureen made a comment about modifier 25- to note that …when she went to conferences they said if additional work is done it’s a good idea to go ahead and create a separate report to be added. That way when the auditors come in they have no modifier 25 is a red flag for auditors. It’s very over used and this can
cause some problems so if your documentation isn’t up to par you don’t want to fall into the trap of using modifier 24.

That about sums up that preventative medicine codes. They’re very easy to use once you get used to them it just takes a little extra time to uh… make sure your documentation is accurate that your are doing no additional work and to conclude: that you know the age of the patient because it’s all based on age.

More Preventative CPT Codes Training:

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