"CPT copyright 2014 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association."
Medicaid reimburses adult health screening services for recipients age 21 and older with the following procedure codes:
• 99385 for new patient screenings age 21-39;
• 99386 for new patient screenings age 40-64;
• 99387 for new patient screenings age 65 years and older;
• 99395 for established patient screenings age 21-39;
• 99396 for established patient screenings age 40-64; or
• 99397 for established patient screenings age 65 years and older.
Medicaid will reimburse for one adult health screening every 365 days. Adult health screenings are recommended for:
• Age 21 through 39, one screening every five years.
• Age 40 and over, one screening every two years.
Labels: Medicaid Reimbursement
Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...
Therapeutic activities are considered medically necessary for patients needing a broad range of rehabilitative techniques that involve ...
Sentinel lymph node identification and biopsy typically involves a multidisciplinary approach. A nuclear medicine procedure called lymph...
Section 4163 of the Omnibus Budget Reconciliation Act of 1990 added §1834(c) of the Act to provide for Part B coverage of mammography sc...
Evaluation Codes (CPT Codes 97001 and 97002 for physical therapy) and (CPT Codes 97003 and 97004 for occupational therapy)The initial evaluation identifies the problem or difficulty the patient is having which helps determine the appropriate therapy necessar...
Myocardial perfusion imaging is being done to determine the significance or the extent of myocardial ischemia (or scar), or to assess my...
AAPC’s Certified Professional Coder (CPC) credential is the gold standard for medical coding in physician office settings and held by more ...
Humana utilizes the following code-editing logic: • CPT 78593 will not be separately reimbursed when submitted with CPT 78585. • CPT 11...
This therapeutic procedure is provided to improve balance, coordination, kinesthetic sense, posture, and proprioception (e.g., proprioc...
Urgent Care Centers are the Facilities that delivers Outpatient Medical Care usually for the conditions that does not require Hospital a...