Primary Care Coding Alert

Question: My physician saw a patient for a skin cancer screening. Should I use the preventive medicine service codes?Florida SubscriberAnswer: Many insurance companies may not recognize preventive skin cancer screenings as being preventive medicine services otherwise reported using codes (99381-99397), since those codes describe "comprehensive" services that include an age and gender appropriate history and examination and other elements that may not be part of skin cancer screening. If that is the case with the payer in question, look instead at using an appropriate office or other outpatient visit code from the 99201-99215 range, such as CPT® 99203 (Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity ...) or 99214 (Office or other outpatient visit for the evaluation and management of an established patient, which requires at [...]