Ages
Gender
Screening Frequency
Billing and Coding
100

 CT Lung screens

What is 50-80 years old

100
Male smoker

AAA

100

Mammograms

What is every 2 years after 55 yo, annually 45-54yo 

100
Established 46 yo annual physical plus DM follow up, controlled and no changes to medication

99396

99213 with 25 modifier 

200
Mammogram screening according to AAFP
What is 50-74 yo
200

Post menopausal female

Dexa scan for osteoporosis 

200

Ct lung cancer screening 

What is every year

200

New patient, 21 yo annual physical, no concerns addressed 

99385

300

HIV and HCV screen

What is 15-65, what is 18-79 respectively

300

Proper screening for 32 year old female, never had a pap smear

What is cotesting with HPV and cytology 

300

Osteoporosis screening

What is every 2 years
300

Established 52 year old, annual physical, BP of 163/96 on repeat 

Preventative code

99214 with 25 modifier 

400
Pneumonia Vaccine: with and without underlying medical conditions

65 years or older 

19-65 with underlying medical conditions

400

Male with history of prostate cancer, in remission 

What is PSA level

400

AAA screening

What is one time screening 

400

You are an attending: est patient 36 yo with annual physical and counsel on smoking cessation for what feels like forever

99395 preventative 

CPT 99407 smoking and tobacco use cessation counseling visit; intensive, greater than 10 min

500

Colon cancer screening for USPSTF, AAFP, and ACS

USPSTF: A-50-75yo, B- 45-49yo

AAFP: I -45-49yo

ACS: 45 yo


500

Criteria for AAA and CT Lung screening 

AAA: male 65-75 who has smoked >100 cigarettes in their lifetime

CT: adults 50-80yo, 20 pack year hx, currently smoking or quit within past 15 years


500

HIV and HCV

What is once, unless considered high risk
500

Established annual physical 63 yo,  knee pain, and you perform a knee injection. (dont need specific code number but what you would put down)

99396 with 25 modifier

CPT 

J3011 Kenalog 10mg. Need to put 4U for 40mg

20610 Arthrocentesis, aspiration, and/or injection, major joint or burse (shoulder,hip,knee, bursa; without US guidance