Healthy Rewards Preventative Service Codes

[Pages:1]PREVENTATIVE SERVICE CODES

To help ensure your annual wellness exam and some or all of your wellness labs are covered with no out of pocket costs to you, we are providing you with a reference list of the most common codes your provider would bill for preventative services. If the Saint Francis health insurance plan is not your primary insurance and your primary insurance has a preferred lab, please share that with your provider during your visit.

CPTs & HCPCS for Wellness Exams 99381 Initial comprehensive preventive medicine evaluation 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, new patient; infant (age younger than 1 year) 99384 ... adolescent (age 12 through 17 years) 99385 ... 18-39 years 99386 ... 40-64 years 99387 ... 65 years and older

99391 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 patient; infant (age younger than 1 year) 99394 ... adolescent (age 12 through 17 years) 99395 ... 18-39 years 99396 ... 40-64 years 99397 ... 65 years and older

G0438 Medicare Annual Wellness Initial G0439 Medicare Annual Wellness Subsequent

Dx Codes Z00.00 Encounter for general adult medical examination without abnormal findings Z00.01 Encounter for general adult medical examination with abnormal findings Z01.411 Encounter for gynecological examination (general) (routine) with abnormal findings Z01.419 Encounter for gynecological examination (general) (routine) without abnormal findings

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