Reference Sheet for Billing Preventive Medicine Services and Problem Visit

This cheat sheet provides guidance for billing preventive medicine services and split visits. When can you bill for both an office visit AND a preventive code? When can you bill for only one or the other? Practical guidance based on the patient’s medical history, what the HPI says, abnormal findings, and what the assessment or plan says.

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Relevant Search Terms: 99213, 99214

Last revised January 4, 2021 - Betsy Nicoletti
Tags: preventive medicine services, primary care, split visits

Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.