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Name of Manual - Blue Cross and Blue Shield of Minnesota

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Preventive services<br />

required under the<br />

PPACA (continued)<br />

New Preventive<br />

Service<br />

Screening <strong>and</strong><br />

counseling for<br />

obesity: children <strong>and</strong><br />

adults<br />

Recommendation for<br />

counseling for tobacco<br />

use<br />

Recommendation for<br />

counseling for tobacco<br />

use in pregnant<br />

women<br />

Assess for alcohol <strong>and</strong><br />

drug use in<br />

adolescents<br />

Behavioral<br />

assessments for<br />

children<br />

Testing for<br />

tuberculosis in<br />

children<br />

Health Care Reform<br />

Recommendation<br />

The USPSTF<br />

recommends that<br />

clinicians screen all<br />

children <strong>and</strong> adult<br />

patients for obesity<br />

<strong>and</strong> <strong>of</strong>fer intensive<br />

counseling <strong>and</strong><br />

behavioral<br />

interventions to<br />

promote sustained<br />

weight loss for obese<br />

adults.<br />

The USPSTF<br />

recommends that<br />

clinicians ask all<br />

adults about tobacco<br />

use <strong>and</strong> provide<br />

tobacco cessation<br />

interventions for those<br />

who use tobacco<br />

products.<br />

The USPSTF<br />

recommends that<br />

clinicians ask all<br />

pregnant women<br />

about tobacco use <strong>and</strong><br />

provide augmented,<br />

pregnancy-tailored<br />

counseling for those<br />

who smoke.<br />

HRSA recommends<br />

alcohol <strong>and</strong> drug use<br />

assessments for<br />

adolescents<br />

HRSA recommends<br />

behavioral<br />

assessments for<br />

children <strong>of</strong> all ages<br />

HRSA recommends<br />

tuberculin testing for<br />

children at higher risk<br />

<strong>of</strong> tuberculosis<br />

<strong>Blue</strong> <strong>Cross</strong> <strong>Blue</strong> <strong>and</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> Provider Policy <strong>and</strong> Procedure <strong>Manual</strong> (07/12/12)<br />

Coding Policies <strong>and</strong> Guidelines (Coding)<br />

Suggested Codes<br />

97802-97804, 99078,<br />

99401-99404, 99411-<br />

99412, G0447, G0449<br />

S9470 as preventive<br />

with 278.00 or 278.01<br />

99401-99404, 99406-<br />

99407, 99411-99412,<br />

G0436, G0437, S9453<br />

as preventive with<br />

305.1 or V15.82<br />

99406-99407, G0436,<br />

G0437, S9453 as<br />

preventive with<br />

649.00 or 649.03<br />

G0442, G0443,<br />

H0001, 99408-99409<br />

as preventive with<br />

V65.42 (age 11-20)<br />

99420 as preventive<br />

with V79.0, V79.1,<br />

V79.2, V79.3, V79.8,<br />

V79.9 (age 00-20)<br />

86580 as preventive<br />

with V74.1 (age 00-<br />

20)<br />

11-15

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