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Preventive Care Services - Cigna

Page 1 of 31 Administrative Policy: A004 Administrative Policy Effective 05/01/2022 Next Review Date .. 01/01/2023 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 .. 12 References .. 30 Related Coverage Resources Bone Mineral Density Measurement Breast Pumps Cervical Cancer Screening Visualization Technologies Colorectal Cancer Screening and Surveillance Contraceptives Genetic Testing for Hereditary Cancer Susceptibility Syndromes Nucleic Acid Pathogen Testing Preventive Drug Lists and Coverage Member Resources Prostate-Specific Antigen (PSA) Screening fo

The ordering of appropriate immunization(s) and laboratory/screening procedures Frequency of Wellness Examinations Ages 0 to age 5: According to the American Academy of Pediatrics (AAP) Bright Futures Periodicity Schedule 99381, 99382, 99391, 99392, 99461 Allowed with any diagnosis code Ages 5 and above: Annual wellness

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