Annual Physical Exam

Hi,

What shall we code for the annual physical exam for the Medicare beneficiaries and commercial policy holders.

Please advice.


Thanks,
Mike S.

re: Annual Physical Exam

99381-99397

re: Annual Physical Exam

Hi nmaguire,

Thank you very much for your valuable response.

One small doubt, will Medicare accepts these codes 99381-99397 can we use G0438 and/or G0439 for Medicare physical.


Thanks,
Mike S.

re: Annual Physical Exam

The annual wellness visits are not routine yearly physical exams, they are preventive screening an planning criteria. Medicare does not cover 99381-99397. The question is "what did you do"?

re: Annual Physical Exam

Yearly "Wellness" visits: If Part B for longer than 12 months, patient can get this visit to develop or update a personalized prevention help plan to prevent disease and disability based on current health and risk factors. The provider will ask the patient to fill out a questionnaire, called a “Health Risk Assessment,” as part of this visit. Answering these questions can help develop a personalized prevention plan to help the patient stay healthy . It also includes:
A review of medical and family history
Developing or updating a list of current providers and prescriptions
Height, weight, blood pressure, and other routine measurements
Detection of any cognitive impairment
Personalized health advice
A list of risk factors and treatment options
A screening schedule (like a checklist) for appropriate preventive services. Get details about coverage for screenings, shots, and other preventive services.
This visit is covered once every 12 months (11 full months must have passed since the last visit).