New Claims System Update

6.8 Preventive Services

Provider Manual
heartbeat_stet

6 PROVIDER NETWORK INFORMATION

6.8 Preventive Services

The following preventive services are offered to members with no member copays or cost sharing:

  • Preventive visit
    • Annual physical examination (in addition to the Medicare preventive visits)
      • You may bill for one routine annual visit per year (e.g.,99385-99387, 99395-99397) with diagnosis code V70.0
    • Welcome to Medicare exam
    • Annual wellness exam
  • Bone mass measurements
  • Colorectal screening
  • Diabetic monitoring training
  • Cardiovascular disease testing
  • Mammography screening
  • Smoking cessation (counseling to stop smoking)
  • Depression screening
  • Pap tests, pelvic exams and clinical breast exams
  • Prostate cancer screening exams
  • Abdominal aortic aneurysm screening
  • Diabetes screening
  • EKG screening
  • Flu shots
  • Glaucoma tests
  • Hepatitis B shots
  • HIV screenings
  • Medical nutrition therapy services
  • Pneumococcal shots