Are Your Patients Missing Out on
Preventive Care Services?

Preventive CareIf most of your patients see you only for acute or chronic conditions, they may be missing out on preventive care services that can reduce sick visits.

Document Everything in the Medical Record

At all sick visits:

  • Recommend that the patient schedule a visit that focuses solely on preventive care.
  • Include a few topics about ways your patients can prevent illness and better care for themselves.
PEDIATRIC PATIENTS
Recommended Topics Description Preventive Care Codes
  • Recommend a dental visit annually starting at age two.
  • Advocate for immunizations including flu as appropriate
  • Calculate BMI Percentile and share the results with the parent/caregiver.
  • Talk about ways of increasing physical activity.
  • Make suggestions about portion size and eating nutritious foods.
  • Make sure all children with asthma have a prescription for a controller medication.
Routine infant or child health care  V20.2
Initial Preventive medical exam  99381 (<12 months)
 99382 (ages 1-4)
 99383 (ages 5-11)
Subsequent preventive medical visit  99391 (<12 months)
 99392 (ages 1-4)
 99393 (ages 5-11)
ADOLESCENT PATIENTS
Recommended Topics Description Preventive Care Codes
  • Advocate for immunizations, especially HPV and flu.
  • Talk about avoiding risky behaviors like use of tobacco, drugs and alcohol, unprotected sex.
    Ask about symptoms of depression.
  • Review medications at every visit
Routine medical exam  V70.0
General medical exam NEC  V70.8
General medical exam NOS  V70.9
Initial preventive medical exam 99384 (ages 12-17)
Subsequent preventive medical visit 99394 (ages 12-17)
ADULT PATIENTS
Recommended Topics Description Preventive Care Codes
  • Calculate BMI and share the results.
  • Referral for cancer screenings as appropriate.
  • Be sure your patients with asthma have a prescription for a controller medication.
  • Strongly encourage your diabetic patients to complete HbA1C testing, screening for nephropathy and a dilated retinal eye exam.
  • Review medications at every visit.
Routine medical exam  V70.0
General medical exam NEC  V70.8
General medical exam NOS  V70.9
Initial preventive medical exam 99385 (ages 18-39)
99386 (ages  40-64)
Subsequent preventive medical visits 99395 (ages 18-39)
99396 (ages 40-46)
SENIOR ADULT PATIENTS
Recommended Topics Description Preventive Care Codes
  • Review all medications and recommend safer alternates as needed.
  • Be sure your patients are refilling and taking all prescribed medications, especially those for controlling cholesterol, hypertension and diabetes.
  • Assess your patient's ability to perform activities of daily living.
  • Assess your patient's level of acute or chronic pain.
Routine medical exam  V70.0
General medical exam NEC  V70.8
General medical exam NOS  V70.9
Initial preventive medical exam 99387 (ages 65+)
Subsequent preventive medical visits 99397 (ages 65+)

Best Practices

The provider offices with the highest rates of patient-compliance use recall or reminder systems. Does your office staff call to confirm appointments a day or two before they are scheduled? This allows smoother day to day operations and the opportunity to reschedule appointments before they are missed. Are follow-up reminders sent to patients who miss appointments or fail to schedule annual or follow-up visits? Your reminder can help keep your patients on track and add to the efficiency of your practice.

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