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AHA Coding Clinic® for HCPCS - 2005 Issue 3

Preventive medicine services

Preventive medicine services focus on the health of individuals and defined populations in order to protect, promote, and maintain health, well being, and to prevent disease, disability, and premature death. These services are normally not covered by Medicare based on the Social Security Act, Section, 1862(a)(7), statutory exclusion. The patient is usually responsible for 100% of the charges. Now, according to information published by the Centers for Medicare & Medicaid Services (CMS) in Transmittal 417, dated December 22, 2004, one of the screening services that Medicare will pay for is one initial preventive physical examination (IPPE) per beneficiary per...

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