TEST YOUR SKILLS

Elements of a preventive medicine service include:

Answer: b

The documentation for a preventive medicine visit should include a comprehensive history and exam. Documentation of a chief complaint is not required. The code selection is based on age and the documentation should contain age appropriate information. Counseling and/or risk factor reduction are included in this service and should not be billed separately. Ordering of laboratory and/or diagnostic procedures should also be documented. (Note: The requirements of the E/M documentation guidelines for History and Exam do not apply to the Preventive Medicine Codes.)

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