Yes, if a significant problem is evaluated—bill the E/M code with modifier 25 and document separately.
CPT Code 99393: Preventive Medicine, Established Patient, Ages 5–11
Familiarize yourself with the documentation requirements and billing guidelines of CPT code 99393 for accurate coding and proper reimbursement.
Use Code
Frequently asked questions
No. It is based on the components of preventive care, not time spent.
No. Immunizations and their administration must be reported separately.
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