Can you use procedure code 99396 for Ambetter insurance?

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1036123

2026-03-04 03:50

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Procedure code 99396 is used for a periodic comprehensive preventive medicine evaluation and management for an established patient aged 40-64 years. Whether it can be used for Ambetter insurance depends on the specific plan and its coverage policies. It's essential to verify with Ambetter or consult the insurance provider's guidelines to ensure proper billing and reimbursement for this code. Always confirm that the service meets the criteria for preventive care under the patient's plan.

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