Preventive medicine services content varies by patient circumstance

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• Preventive medicine services content varies by
  patient circumstance

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Preventive medicine services content varies by
patient circumstance
A preventive medicine service is an age and
gender appropriate history and exam and includes
anticipatory guidance, a discussion about risk
factor reduction, and provision or referral for
immunizations and screening tests. The medical
history recorded, the examination performed, as
well as the content of advice can vary by the
gender and the age and of the patient. A
problem-oriented visit is the one which addresses
an acute or chronic condition and documents
history, exam, and medical decision making
related to the condition. As per the CPT the
preventive visiting codes include 99381-99397
which cover counseling/anticipatory guidance/risk
factor and reduction interventions. Nevertheless,
when such counseling is delivered as part of a
separate problem-oriented encounter, it could be
billed using preventive medicine codes 99401to
99409. For example, if you deliver significant
counseling on smoking cessation during a visit
for an ankle sprain, you can be billed for the
counseling for submitting to an E/M office visit
code for the problem-oriented service. A rundown
of the counseling needs to be included in the
documentation. Furthermore ICD-9 codes for
preventive counseling requires pairing with the
CPT codes.
Medical Billing Services in Oregon
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Preventive medicine services content varies by
patient circumstance

• Medicare explains that the goals of these
  wellness visits are health promotion and disease
  prevention and detection. Preventive medicine
  services focus on 3 specialty areas which
  include
• Aerospace medicine
• Occupational medicine
• Public health and general preventive medicine
• Medical coding services to document preventive
  visits involve using the correct CPT and ICD-10
  codes to report the services provided.
• Preventive medicine services provided will vary
  by patient circumstance. While the services for a
  young child will assess physical growth and
  developmental milestones such as speech,
  crawling, and sleeping habits, an adolescent
  preventive service may include scoliosis
  screening, assessment of growth and development,
  and a review of immunizations.
• A comprehensive preventive visit for an adult
  female patient will include a gynecologic
  examination, pap smear, and breast exam and for
  an adult males exam, services would include a
  checkup of the penis testes and the prostate for
  older individuals.

Medical Billing Services in Oregon
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Preventive medicine services content varies by
patient circumstance
Even though the Affordable Care Act i.e. ACA
requires insurers to cover recommended preventive
services without any patient cost-sharing, exact
coverage and reporting requirements may vary from
payer to payer. Experienced medical billing and
coding companies like Medisys can provide the
services of skilled medical coders who are up to
date with the coding changes and updates related
to E/M and preventive medicine services.
Medical Billing Services in Oregon