Medicare Part B always covers 3 routine immunizations:
- Pneumococcal pneumonia (PPV)
- Influenza (the flu)
- Hepatitis B (if you are at medium to high risk)
Preventive Care Services
CPT 99381-99387 – Initial Comprehensive Preventative Medicine evaluation and management.
CPT 99391-99397 – Periodic Comprehensive Preventative Medicine reevaluation and management.
CPT 99391-99397 – Periodic Comprehensive Preventative Medicine reevaluation and management.
Includes care for preexisting conditions or minor problems. Excludes behavior change intervention (99406-99409)
(better known to offices as complete Physical Exams, Well Checks, routine physical, annual physical, annual exam, well exam, routine exam, full physical, annual routine physical)
Risk factor and behavior change modification.
CPT 99401–99405 Preventive medicine counseling and/or risk factor reduction and behavioral change intervention services provided at an encounter separate from the preventive medicine examination in areas such as family problems, diet, and exercise.
CPT 99406–99407 Smoking and tobacco use cessation counseling.
CPT 99408–99409 Alcohol and/or substance abuse structured screening.
Medicare doesn’t cover preventative services.
The CMS recognizes two HCPCS codes for billing for behavioral counseling for obesity
G0447 – face-to-face behavioral counseling for obesity, 15 minutes
G0473 – face-to-face behavioral counseling for obesity, group (2–10), 30 minutes.