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Primary Care Coding Alert

You Be the Coder:

Know IPPE/AWV Difference to Prevent Medicare Denials

Question: We have been using CPT® codes 99396 or 99397 for preventive medicine visits/annual wellness visits for patients on Blue Cross Medicare Advantage plans, but we have recently been getting denials and patients are being billed for the services. Are these codes covered, or should we be using G0402 or G0438/G0439? California Subscriber Answer: Payment for 99396 (Periodic comprehensive preventive [...]