cpt 99385 for non primary care physician - SERP Analysis

https://www.aafp.org/pubs/fpm/issues/2012/0700/p12.html

https://www.cmadocs.org/newsroom/news/view/ArticleId/27840/Coding-Corner-CPT-reporting-for-preventive-medicine-services

https://www.aapc.com/codes/cpt-codes/99385?srsltid=AfmBOorv626pk5EGDdJrY91Ijsb2233pqNupPadAX2FW34rItTrNxiWB

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-Preventive-Medicine-and-Screening-Policy.pdf

https://www.arhealthwellness.com/content/dam/centene/ar-health-wellness/AHW_Files/ALL20-AR-H-048_Allwell%20Annual%20Wellness%20Visit%20&%20Physical%20Exam%20Guide.pdf.pdf

https://www.allinahealth.org/-/media/allina-health/files/customer-service/billing-and-insurance/2022-primary-care-top-25-cpt-codes-and-pricing.pdf

https://www.definitivehc.com/resources/healthcare-insights/preventive-medicine-cpt-codes

https://health.maryland.gov/pophealth/documents/local%20health%20department%20billing%20manual/pdf%20manual/section%20iv/2019%20ped%20coding%20prev.%20care%20aap%20document.pdf

https://www.gottransition.org/resource/2023-coding-tip-sheet

https://www.azcompletehealth.com/content/dam/centene/az-complete-health/pdf/provider/news_items/508_Annual%20Wellness.pdf

https://www.ama-assn.org/practice-management/cpt/can-physicians-bill-both-preventive-and-em-services-same-visit

https://auctusgroupconsulting.com/new-patient-cpt-codes-2024/

https://www.cms.gov/medicare/prevention/prevntiongeninfo/medicare-preventive-services/mps-quickreferencechart-1.html

https://northmemorial.com/wp-content/uploads/2019/06/NMH_frequently-billed-clinical-services.pdf

https://mpfcak.com/patient-information/top-10-procedure-codes-pricing/

https://www.acog.org/practice-management/coding/coding-library/prevention-of-fasd-coding-basics

https://www.bluecrossnc.com/content/dam/bcbsnc/pdf/providers/network-participation/bcbsnc-hcr-preventive-services-coding-guide.pdf

https://www.aapc.com/discuss/threads/preventive-plus-sick.12777/?srsltid=AfmBOorEt3hQtU6MePmeKzvPBhUysFNbvijON5qmgzi2qV1yAYUxF6B0

https://genhealth.ai/code/cpt4/99385-initial-comprehensive-preventive-medicine-evaluation-and-management-of-an-individual-including-an-age-and-gender-appropriate-history-examination-counselinganticipatory-guidancerisk-factor-reduction-interventions-and-the-ordering-of-laboratorydiagnos

https://www.prin.edu/fetch.php/b31QCH/9936428/can_cpt_99385__be_billed_with_90471.pdf

https://www.uhcprovider.com/content/dam/provider/docs/public/health-plans/medicare/MA-Preventive-Services-Coding-Guidelines.pdf

https://www.ama-assn.org/system/files/telehealth-services-covered-by-medicare-and-included-in-cpt-code-set.pdf

https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/ad_a004_administrativepolicy_preventive_care_services.pdf

https://www.caresource.com/documents/preventive-services-and-sick-visit-on-same-date-of-service/

https://codingintel.com/new-patient-visit-preventive-and-em-ervice-same-day/

https://www.medicaid.gov/medicaid/access-care/downloads/ffs-prov-final-rule-guidance.pdf

https://www.mass.gov/info-details/masshealth-primary-care-sub-capitation-program-service-code-set

https://www.trytwofold.com/medical-codes/99386-cpt-code

https://www.cms.gov/newsroom/fact-sheets/final-policy-payment-and-quality-provisions-medicare-physician-fee-schedule-calendar-year-2018

https://www.gottransition.org/resource/2022-coding-tip-sheet

https://www.emedny.org/ProviderManuals/NursePractitioner/PDFS/Nurse_Practitioner_Procedure_Codes.pdf

https://www.nhpri.org/wp-content/uploads/2024/07/Physician-Services-Payment-Policy-07.01.24.pdf

https://mcweb.apps.prd.cammis.medi-cal.ca.gov/file/manual?fn=eval.pdf

https://www.emblemhealth.com/content/dam/emblemhealth/pdfs/provider/EH_Preventive_Services_List_MEDICARE.pdf

https://www.reddit.com/r/Residency/comments/18imb69/are_primary_care_physicians_really_not_allowed_to/

https://dhhs.ne.gov/Documents/Enhanced%20Primary%20Care%20Provider%20fee%20schedule.pdf

https://codingintel.com/billing-pap-smear/

https://www.hca.wa.gov/assets/billers-and-providers/Physician-related-services-bg-20230801.pdf

https://www.scdhhs.gov/internet/pdf/manuals/Physicians/Manual.pdf

https://www.azahcccs.gov/PlansProviders/Downloads/MedicalCodingResources/AMPM430_EPSDT_ServiceCodes.pdf

https://www.outsourcestrategies.com/resources/reporting-pediatric-preventive-services-2018/

https://www.michigan.gov/-/media/Project/Websites/mdhhs/Folder3/Folder6/Folder2/Folder106/Folder1/Folder206/Primary_Care_Incentive_Rates-012016.pdf?rev=9c977d9f60a64639ab8bc9fa3de198a1

https://www.nhpri.org/wp-content/uploads/2022/05/Physician-Services-Payment-Policy-06.08.21v2-through-5.1.22.pdf

https://www.womenspreventivehealth.org/wp-content/uploads/FINAL_WPSI_CodingGuide_2022_Pages.pdf

https://www.reddit.com/r/CodingandBilling/comments/zdckue/new_patient_preventative_exam/

https://www.acponline.org/practice-career/business-resources/coding

https://www.horizonnjhealth.com/for-providers/resources/policies/reimbursement-policies-guidelines/preventive-medicine-services

https://www.molinahealthcare.com/providers/nv/medicaid/communications/-/media/0A463D24E0BF4DFBADF222EA8DB96751.ashx

https://fallonhealth.org/~/media/Files/FCHP/Imported/WellbabywellchildcarevisitspolicyNEW.pdf.a

https://wa-provider.kaiserpermanente.org/static/pdf/provider/coverage-eligibility/preventive-services-guidelines.pdf

https://www.connecticare.com/content/dam/connecticare/pdfs/providers/resources/toolkit/resources/PreventiveServicesList_Medicare.pdf

http://www.bcms.org/geninfor/BillingGuideforPrimaryCareDoctors.pdf

https://www.careoregon.org/docs/default-source/covid-19/ph-telehealth-services-covid19-04302020.pdf?sfvrsn=9b02e19b_5

https://www.huskyhealthct.org/providers/provider_postings/primary_care_increased_payments_policy.pdf

https://www.forwardhealth.wi.gov/WIPortal/Subsystem/KW/Print.aspx?ia=1&p=1&sa=50&s=5&c=30&nt=

https://medibillmd.com/blog/primary-care-cpt-codes/

https://www.southcarolinablues.com/web/public/brands/medicalpolicy/external-policies/womens-preventive-services/

https://medicaid.georgia.gov/document/state-plan-amendment/ga-22-0008-eliminate-attestation-and-increases-rates/download

https://www.emedny.org/info/providerenrollment/ProviderMaintForms/406101_PPAC_DESC_PPAC_Physician_Program_Description.pdf

https://providers.highmark.com/content/dam/highmark/en/providerresourcecenter/pdfs/claims-authorization/reimbursement/reimbursement-policies/rp-020.pdf

https://www.healthicity.com/blog/what-coders-auditors-need-to-know-about-cpt-code-99459

https://www.dchealthcheck.net/documents/WCV-Billing-Guide-2014.pdf

https://www.point32health.org/provider/wp-content/uploads/sites/2/2024/01/B_PPACA-PM.pdf

https://medicaid.ncdhhs.gov/documents/files/special-bulletin-health-check-guide-2016-10/open

https://health.maryland.gov/pophealth/Documents/Local%20Health%20Department%20Billing%20Manual/LHD%20BiIlling%20Manual%20V37/Section%20IV%20Programs%20and%20Services/Coding%20Pediatric%20Preventive%20Care.pdf

https://www.tmhp.com/sites/default/files/file-library/resources/provider-manuals/tmppm/pdf-chapters/2020/2020-10-october/2_Med_Specs_and_Phys_Srvs.pdf

https://www.bcbsnd.com/content/dam/bcbsnd/documents/general/Preventive-Coding-Guidelines.pdf

https://nhhealthcost.nh.gov/costs/medical/result/new-patient-preventive-care-visit-for-adult-ages-18-39

https://www.sos.arkansas.gov/uploads/rulesRegs/Arkansas%20Register/2008/sep_2008/016.06.08-031.pdf

https://downloads.aap.org/AAP/PDF/Coding%20Preventive%20Care.pdf

https://www.nebraskatotalcare.com/content/dam/centene/Nebraska/PDFs/Quality/NTC_PrvdrEPSDT_BillingGuide_508.pdf

https://www.federalregister.gov/documents/2017/11/15/2017-23953/medicare-program-revisions-to-payment-policies-under-the-physician-fee-schedule-and-other-revisions

https://dhhs.ne.gov/documents/471-000-62.pdf

https://assets.humana.com/is/content/humana/Stars%20abbreviated%20measure%20guidepdf

https://www.mass.gov/doc/billing-guidelines-for-masshealth-physicians-and-mid-level-providers-epsdt-bg/download

https://www.caresource.com/documents/hedis-coding-guide-child/

https://www.homestatehealth.com/content/dam/centene/home-state-health/pdfs/2017%20HEDIS%20Guidelines.pdf

https://medicaid-documents.dhhs.utah.gov/Documents/manuals/pdfs/Medicaid%20Provider%20Manuals/Archives/Primary%20Care%20Network%20(PCN)%20(Archived%20March%202020)/Archive/2017/PCNmanual4-17.pdf

https://www.premera.com/medicalpolicies/10.01.523.pdf

https://www.scdhhs.gov/internet/pdf/manuals-archive/Physicians/Section%202.pdf

https://www.healthpartners.com/hp/doctors-clinics/billing-financial/cost-of-health-care/index.html

https://www.bcbsilcommunications.com/newsletters/br/2019/sept/bcchp_providers.html

https://www.fideliscare.org/Portals/0/Providers/TipSheets/Primary-Care-Provider-(PCP)-Quality-Tip-Sheet.pdf

https://www.outsourcestrategies.com/blog/how-to-report-separate-em-service-during-preventive-visit/

https://www.cigna.com/static/www-cigna-com/docs/preventative-care-services-a004-administrative-policy.pdf

https://www.molinahealthcare.com/~/media/Molina/PublicWebsite/PDF/providers/oh/duals/oh-combined-provider-manual.pdf

https://www.dhcs.ca.gov/Documents/Targeted-Rate-Increases-Code-List.xlsx

https://www.bannerhealth.com/-/media/files/project/bh/patients-visitors/direct-pay-pricing-centers-and-clinics/bmgnursepractitionerprimarycare.ashx

https://assets.humana.com/is/content/humana/cphp_qualitymeasuresguidepdf

https://www.southcarolinablues.com/web/public/brands/medicalpolicy/external-policies/preventive-services-for-non-grandfathered-ppaca-plans-uspstf-recommended-services/

https://www.chartspan.com/blog/cpt-codes-for-annual-wellness-visits/

https://www.healthpartners.com/hp/doctors-clinics/billing-financial/park-nicollet-cost-of-health-care/index.html

https://payerprice.com/rates/99385-CPT-fee-schedule

https://imedclaims.com/cpt-code-99396-guide-primary-care-physicians/

https://providernews.amerigroup.com/ga/articles/sick-and-preventive-visits-19579

https://www.youtube.com/watch?v=jwX9q-E8tqU

https://www.molinamarketplace.com/-/media/Molina/PublicWebsite/PDF/Providers/common/Payment-Integrity/PI-Payment-Policy-54-After-Hours-and-Weekend-Care-Reimbursement-Policy-Professional.pdf

https://www.codingahead.com/99385-cpt-code-description-guidelines-reimbursement-modifiers-example/