Effective for claims with dates of service on or after January 1, 2018, prolonged preventive services will be payable by Medicare when billed as an add-on to an applicable preventive service that is payable from the Medicare Physician Fee Schedule, and both deductible and coinsurance do not apply. HCPCS Codes G0513 and G0514 for prolonged preventive services will be added as part of January1, 2018, HCPCS update and the coinsurance and deductible will be waived.
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Tag Archives: preventive
Is Preventive Visit Followup Billable
Hi,
I work in an primary care clinic, which provides a high number of preventive visits (99385-99387 (99395-99397).
My questions are:
1- Is the follow-up visit billable ?
2- If Billable, how would the followup visit to discuss the test results be coded and billed ?
Thank you.
Words of Wisdom for Pediatric Preventive Care Claims
Knowing which services are included and which are separately reportable ensures appropriate reimbursement. By Cindy Hughes, CPC, CFPC In the first years of life, preventive services play an important role in determining if a child is growing and developing as expected. And for these services, payer rules play an important role in being reimbursed appropriately. […]
AAPC Knowledge Center
New office visit + preventive
A chapter member posted this question, and I haven’t looked up guidelines yet:
Hello,
Office debate:
New pt has an office visit and physical at same appt.
Is this coded w one new and one est code or two new or codes?
Thanks
Hello,
Office debate:
New pt has an office visit and physical at same appt.
Is this coded w one new and one est code or two new or codes?
Thanks
Documentation for PREVENTIVE EXAMINATION\ ROUTINE EXAMNIATION
Please anyone let me know,what documentation we need to bill preventive\routine examination for private payer. Is there any useful website, please share with me….
Coding Glaucoma Preventive Screening
January is Glaucoma Awareness month. This is a good time to remind patients that this disease has no symptoms in its early stages. If detected through preventive screening, however, glaucoma can usually be controlled and severe vision loss can often be prevented, according to the National Eye Health Education Program (NEHEP). Who’s at Risk? Medicare […]
AAPC Knowledge Center
Regarding preventive visit
Patient is established and today came for wellness(Preventive) visit. can we code preventive visit as New(9938-) or Established(9939-)? Please advise.