Florida Medicaid reimbursement for Adult Health Screening Services

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.

Screening Schedule:

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.

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