Quick Comparison Preventive Medicine Services Established Patient – Medical E/M Patient Age History Exam Decision Code Status Making1 No Under 1 Age and gender Age and gender Ordering 99391 complaints year appropriate appropriate lab/diagnostic procedures No 1-4 Age and gender Age and gender Ordering 99392 complaints years appropriate appropriate lab/diagnostic procedures No 5-11 Age and gender Age and gender Ordering complaints appropriate appropriate lab/diagnostic procedures No 12-17 Age and gender Age and gender Ordering 99394 complaints years appropriate appropriate lab/diagnostic procedures No 18-39 Age and gender Age and gender Ordering 99395 complaints years appropriate appropriate lab/diagnostic procedures No 40-64 Age and gender Age and gender Ordering 99396 complaints years appropriate appropriate lab/diagnostic procedures No 65 and Age and gender Age and gender Ordering 99397 complaints over appropriate appropriate lab/diagnostic procedures Includes age appropriate immunizations, laboratory/diagnostic procedures and age 1 appropriate counseling/anticipatory guidance and risk factor reduction intervention(s).
Quick Comparison Preventive Medicine Services – Established Patient E/M Code Patient Status Age History Exam Medical Decision Making1 99391 No complaints Under 1 year Age and gender appropriate Age and gender appropriate Ordering lab/diagnostic procedures 99392 No complaints 1-4 years Age and gender appropriate Age and gender appropriate Ordering lab/diagnostic procedures No complaints 5-11 Age and gender appropriate Age and gender appropriate Ordering lab/diagnostic procedures 99394 No complaints 12-17 years Age and gender appropriate Age and gender appropriate Ordering lab/diagnostic procedures 99395 No complaints 18-39 years Age and gender appropriate Age and gender appropriate Ordering lab/diagnostic procedures 99396 No complaints 40-64 years Age and gender appropriate Age and gender appropriate Ordering lab/diagnostic procedures 99397 No complaints 65 and over Age and gender appropriate Age and gender appropriate Ordering lab/diagnostic procedures 1 Includes age appropriate immunizations, laboratory/diagnostic procedures and age appropriate counseling/anticipatory guidance and risk factor reduction intervention(s).
AppendixPolicyProcedureManual.docx