At Apex MD , we believe that comprehensive care is essential in maintaining good health. The Affordable Care Act (ACA) was signed into law on March 23, 2010. This law requires insurance companies to cover all applicants with new standards for Preventative Health Care including a limited wellness visit, but does not include comprehensive physical or evaluation of acute or chronic illnesses. There are 15 preventative services that are recommended for adults. Some of those items include immunizations, screening for depression, blood pressure screening, colorectal cancer screening for adults over 50 and cholesterol screening.
When was Your Last Preventive Care Visit?
Many serious health problems don’t have symptoms; they are only identified during a doctor’s exam. Don’t wait until something goes wrong.
Your physician can learn a lot about your health today and what it might look like in the future just by talking with you about your lifestyle and performing some basic tests, and that’s what a preventive care is all about. The best part of a preventive care visit isn’t just the prevention of health problems or the achievement of more complete wellness but the relationship you build with your doctor.
Schedule a Preventive Care Visit at Apex MD
Most insurance plans will cover preventive care services. Please check with your insurance plan on what preventive care services are covered before scheduling an appointment.
For Self Pay patients Annual Physical and Wellness Screening Packages at Apex MD are very affordable.
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
Female doctor showing an xray picture to a patient
Preventive Physical/Wellness Examination
- 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
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
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
- Lipids ( cholesterol) 80061
Other labs CPT CODE AS NEEDED
- 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