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 .................................. 9 References.

Preventive care services are reported with diagnosis and procedure codes which identify the services as preventive and not for treatment of injury or illness. (Reference chart below). Age or frequency limits are utilized for certain designated services (i.e., wellness exams, vision and hearing screening, services related to prevention

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