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DOCUMENTING AND CODING PREVENTIVE VISITS: A …

12 | FAMILY PRACTICE MANAGEMENT | | July/August 2012 DOCUMENTING AND CODING PREVENTIVE VISITS: A Physician s Perspective In our experience, family physicians vary widely in their understanding of PREVENTIVE care CODING . Ques-tions we ve heard range from What ICD-9 codes are appropriate with PREVENTIVE care visits? all the way down to PREVENTIVE codes? What are PREVENTIVE codes? I only use evaluation and management [E/M] codes. No matter what your level of comfort (or discomfort) with CODING PREVENTIVE visits, we hope to offer information you ll find useful. We will define the documentation components necessary to code PREVENTIVE visits for patients 18 to 64 years old, review the appropriate ICD-9 and CPT codes and how to properly pair them, and dis-cuss the proper use of modifier 25.

Unlike documenting problem-oriented E/M office visits (99201-99215), which involves compli-cated coding guidelines, documenting preventive visits is more straightforward. The following components are

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