What does CPT code 99392 mean?

Periodic comprehensive preventive medicine
99392 – CPT® Code in category: Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established …

What is the age limit for CPT 99396?

99395 …18-39 years. 99396 … 40-64 years.

How often can 99392 be billed?

A single physician or other qualified health care professional should not report 99483 more than once every 180 days.

Is 99392 and E M code?

Description of CPT code 99391, 99392, 99393, 99394, 899395, 99396 & 99397. Periodic comprehensive preventive medicine services are typically well-patient examinations for established patients presenting for reevaluations and/or management of overall health condition with code selection dependent upon the patient’s age.

Can 99396 be billed to Medicare?

New. We bill Medicare and MCR Advantage plans the Annual Wellness Visit codes G0438 and G0439. We never use 99396 or 99397 for Medicare/MCR Advantage, because they are not a covered code.

Can 96110 be billed twice?

Autism screening must be billed with CPT code 96110 and modifier KX. Claims for CPT code 96110 with modifier KX will not count toward the twice-a-year frequency limit for CPT code 96110.

How many times can you bill 96127?

Most insurances allow you to bill CPT code 96127 up to 4 times per year, up to 2 units per visit.

What is a 25 modifier for Medicare?

Evaluation and Management
Modifier 25 – this Modifier is used to report an Evaluation and Management (E/M) service on a day when another service was provided to the patient by the same physician or other qualified health care professional.

What age group is 99395 for?

• For children ages 1 to 4 (early childhood), use CPT code 99392. • For children ages 5 to 11 (late childhood), use CPT code 99393. • For children ages 12 to 17 (adolescent), use CPT code 99394. • For children age 18 (adolescent), use CPT code 99395.

What is the age limit for the CPT code 99391?

• For children age 18 (adolescent), use CPT code 99385. For established patients making a well baby/well child care visits: • For infants under age 1, use CPT code 99391. • For children ages 1 to 4 (early childhood), use CPT code 99392.

What is CPT 99392?

CPT 99392, Under Established Patient Preventive Medicine Services. The Current Procedural Terminology (CPT) code 99392 as maintained by American Medical Association, is a medical procedural code under the range – Established Patient Preventive Medicine Services.

What is medical procedure code 99395?

The Current Procedural Terminology (CPT) code 99395 as maintained by American Medical Association, is a medical procedural code under the range-Established Patient Preventive Medicine Services.