CPT 99387, in plain terms, covers A doctor's initial comprehensive exam and evaluation for a new patient who is 65 years old or older. CPT 99387 is referenced in 23 tracked payer policy changes from Harvard Pilgrim Health Care, Health Net, and 11 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 99387 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
Official descriptor: CPT 99387 on AAPC
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