Codes: 99382 – 99387 OR 99392 – 99397
- Complete Review of Systems
- Complete Physical Exam
- Reconciliation of Medications
- Diagnostic Testing
- X-Rays
- EKG
- Laboratory Testing
- Immunizations
List of Preventive Care Services Offered at Apex MD
- Blood Pressure Screening
- Diabetes Screening
- Lipid Disorder Screening
- Cervical Cancer Screening: Pap test and pelvic exam
- Breast Cancer Screening: Clinical breast exam and self-exam instruction
- Skin and other Cancer Screening
- Routine Depression Screening
- Testicular and Prostate Cancer Screening
- Assessment: Body Mass Index (BMI), diet, exercise, vision, hearing
- Immunization History Review and Catch-Up administration
- Counseling: Tobacco cessation, alcohol/drug use, STD prevention, contraception, diet, exercise
- Sexually Transmitted Disease (STD) prevention
Additional Information
The annual wellness “FREE” visit provided by Medicare and private insurance companies is very limited. It does not include most diagnostic testing and does not include treatment of chronic conditions or treatment of any acute illnesses.
Our providers follow evidence based medical guidelines from national medical organizations to individualize treatment plans and goals for you. As such, these services are likely covered by your health insurance policy; owever, applicable co-pays, coinsurance and deductible may apply. You will be asked to complete an ADVANCED BENEFICIARY NOTICE (ABN) prior to services being rendered. Please make sure you read this document and select an option to receive or to not receive the services suggested by your medical provider. We highly recommend you contact your health insurance carrier to become familiar with your benefits.
Any additional tests required during any wellness exam may not be covered under wellness, and may incur additional out of pocket expenses as explained above. Please make sure to contact your insurance carrier to obtain a listing of coverage details relating to your plan for all wellness and problem focused related visits.
Patient Responsibility
Finally good healthcare requires your input. Ask questions and communicate with both the doctor and nurse. Let them know your concerns and problems at the beginning of a visit. Also, know YOUR health insurance benefits. Providing quality healthcare at reasonable costs requires team work.
Preventive Physical/Wellness Examination
- The exam is comprised of these tasks:
- Head to Toe Physical Examination
- Breast and or Pap Exam
- Prostate Exam
- Pelvic Exam
- Body Mass Index (BMI)- Height and Weight
- Temperature
- Oxygen Level
- Blood Pressure
- Electrocardiogram (EKG)
- Chest X-ray (IF NEEDED)
- Urine Analysis
- Blood Work (Basic)
- Kidney/liver Function
- CBC (Complete Blood Count)
- Cholesterol (Lipids)
- HbA1C (Status of Prediabetes or diabetes
- Blood Work (If Needed)
- Vitamin D
- Thyroid
- Female or Male Hormone Panels
CPT and Diagnosis Codes:
Physical Examination
- CPT Code depends on age and whether you are a new or an established patient with our practice (Ex: 99385 means “well visit new, age 34”)
EKG: CPT Code 93000
Urine Analysis: CPT Code 8100
Procedure Codes: The below four codes may and not be covered may insurance. But it’s important to do them. Some insurance company cover for all these labs and some does not.
- CBC (Blood Count) 85027
- CMP ( Kidney and liver test)80053
- Lipids ( cholesterol) 80061
- HbA1C ( Status of diabetes or prediabetic) 83036
Other labs CPT CODE AS NEEDED
- Thyroid 84443
- Thyroid 84443
- Vitamin D 82306
- Vitamin B12 82607
- Estrogen 82670
- Testosterone 84403
- DHEA 82626
- Progesterone 84144
- Cortisol 82533
- T4 84436
- T3 84480
- TPO 86376
- Reverse T3 84482
- TSH 84443
- Thyroid Panel 000455
- FSH 83001
- ANA 86038
- RA Factor 86431
- CRP 86140
- Lyme’s Test 86618
- Free T3 010289
- T3 Uptake 001156
- TBG 001735
- NMR 80061, 83704