Preventive Care Services - Cigna

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Page 1 of 28 Administrative Policy: A004 Administrative Policy Effective 04/15/2018 Next Review Date ..................................... 01/15/2019 Administrative Policy Number ......................... A004 Preventive Care Services Table of Contents Administrative Policy ........................................ ... 1 Wellness Examinations - General Description ..... 3 Frequency of Wellness Examinations .................. 3 Preventive Care Services that may be provided during a Wellness Examination ......... 3 Preventive Care Screenings and Interventions (Note: some Services may be provided as part of a wellness examination or at a separate encounter) ........................................ .. 4 Coding/Billing Information.

o Uniform Panel of the Secretary’s Advisory Committee on Heritable Disorders in Newborns and Children o Guidelines specifically issued for women and adopted by HRSA . Preventive care services include wellness examinations and routine immunizations. Certain recommended

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