For holistic healthcare practitioners, understanding and properly utilizing 99395 CPT Code is critical for maximizing reimbursement on preventive care visits. This code, designed for annual wellness check-ups for established patients aged 18-39, is often underutilized or incorrectly billed.
At Holistic Billing Services, we specialize in helping your practice streamline its billing processes and ensure proper reimbursement. Contact us today to ensure you’re capturing every opportunity for revenue with 99395 CPT code
What Does CPT 99395 Cover?
CPT 99395 is specifically designed to cover preventive care services for established patients between 18 and 39 years old. It includes the essential components of an annual wellness visit, such as:
- A comprehensive history taking into account past medical, family, and social history.
- A complete physical examination of all body systems.
- Preventive counseling addressing lifestyle changes, risk reduction, and health maintenance.
- The ordering of necessary lab tests or diagnostic procedures if required.
The Importance of 99395 CPT Code for Holistic Practices
As holistic practitioners, your goal is to empower patients with the knowledge and tools to manage their health proactively. 99395 CPT Code directly supports this mission by ensuring your practice is reimbursed for wellness visits that focus on preventive care. However, many providers overlook this opportunity or make mistakes when documenting the visit, leading to lost revenue.
At Holistic Billing Services, we help you navigate the complexities of preventive care billing and maximize your reimbursement potential. Proper coding and detailed documentation can help you:
- Capture revenue from services you are already providing
- Improve patient care by offering more structured preventive care
- Streamline your billing processes for maximum efficiency
Key Documentation Requirements for CPT 99395
Accurate documentation is critical for successful reimbursement under CPT 99395. The following documentation elements are essential for ensuring your preventive visits meet payer guidelines:
- Detailed History: Include past medical, family, and social history, and identify potential health risks.
- Physical Exam: Thoroughly document the exam findings for all body systems.
- Preventive Counseling: List all discussions on lifestyle changes, health risk reduction, and maintenance.
- Lab Tests/Procedures: Document any tests ordered or completed during the visit, linking them to the patient’s health status.
Why Partner with Holistic Billing Services for CPT 99395?
At Holistic Billing Services, we specialize in optimizing preventive care reimbursement, including CPT 99395. Partnering with us offers your practice the following benefits:
- Customized Solutions: We tailor our billing strategies to your specific needs, ensuring every preventive service is captured and properly reimbursed.
- Expert Documentation Support: Our team helps you maintain accurate records and avoid common documentation errors that can lead to claim denials.
- Increased Revenue: By ensuring correct coding and improving your billing processes, we help your practice increase revenue from preventive services by 15-20% without requiring more patient appointments.
Ready to take your preventive care billing to the next level? Contact Holistic Billing Services today to discuss how we can help you optimize your CPT 99395 billing and increase your practice’s reimbursement.
