CPT^® 99396, Under Established Patient

The Current Procedural Terminology (CPT^®) code 99396 as maintained by American Medical Association, is a medical procedural code under the range - Established Patient.

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Summary

The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.

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Annual wellness visits w/Commercial ins secondary

[QUOTE="Karajag, post: 514034, member: 240043"] I'm looking for some direction on billing OBGYN annual visits. We have a number of patients that have Medicare primary and Commercial ins as secondary.... [ Read More ]

Annual wellness visits w/Commercial ins secondary annual wellness visits medicare billing obgyn coding

I'm looking for some direction on billing OBGYN annual visits. We have a number of patients that have Medicare primary and Commercial ins as secondary. There is some confusion as to whether we shoul... [ Read More ]

billing for annual exams

[QUOTE="t.b.townsend09@gmail.com, post: 508497, member: 387994"] hi, question I know you can't bill for the 99396,99386 series for Medicare patients does this mean you also can't bill the ICD-10 Z00.... [ Read More ]

Cigna 25 modifier policy

What do they mean exactly by a 'chart note'? If they're referring to reported an encounter with a separate E/M with appended modifier 25. Example: 99215-25, 99396. Some payors are not wanting to pay f... [ Read More ]

billing for annual exams

Prev visits with Medicare insurance

Hello, I received a denial from Medicare saying that CPT 99396 cannot be charged. The patient came in for a yearly physical exam and went over the patient's medical history. Blood work was also done t... [ Read More ]

billing for annual exams

hi, question I know you can't bill for the 99396,99386 series for Medicare patients does this mean you also can't bill the ICD-10 Z00.00-Z00.01? thanks in advance for your help... [ Read More ]

99381-99387 CPT

If the patient has been seen by your office within the past 3 years then you would need to use CPT 99396. As the patient would be considered an established patient.... [ Read More ]

99381-99387 CPT

Hello I need a clarification regarding annual physical charts . Suppose we have a patient who is coming for office visits and we already have billed 99213 i.e. subsequent visits for the previous chart... [ Read More ]

Modifier 25

[QUOTE="amyjph, post: 505519, member: 172045"] What is the edit text? Some payers require a totally separate claim for the office visit if you are billing an "acute" E/M visit on the same date as a pr... [ Read More ]

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