99382 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos

Name of the Procedure:

Initial Comprehensive Preventive Medicine Evaluation and Management

Summary

This procedure involves a thorough health assessment, including a detailed history, physical examination, counseling, and preventive guidance for reducing health risks. Laboratory and diagnostic tests may also be ordered to gain a complete understanding of the patient's health status.

Purpose

The Initial Comprehensive Preventive Medicine Evaluation and Management aims to:

• Detect any potential health issues early.
• Provide a baseline for future health assessments.
• Offer guidance on maintaining a healthy lifestyle to prevent illness.
• Order necessary diagnostic tests to further evaluate the patient's health.

Indications

• Routine check-up for individuals of any age or gender.
• Patients seeking advice on disease prevention and health maintenance.
• Individuals with a family history of chronic diseases.
• Patients without recent medical evaluations.

Preparation

• Patients may need to fast for certain lab tests.
• Bring a list of current medications, allergies, and family medical history.
• Wear comfortable clothing for the physical examination.

Procedure Description

1. History: Detailed interview covering medical history, family history, lifestyle, and habits.
2. Examination: Comprehensive physical examination tailored to age and gender.
3. Counseling: Personalized advice on diet, exercise, smoking cessation, and other lifestyle factors.
4. Risk Reduction: Interventions to reduce risk factors for chronic diseases.
5. Laboratory/Diagnostics: Ordering of blood tests, imaging, or other diagnostic tests to assess overall health further.

Duration

Typically, 60 to 90 minutes.

Setting

Performed in an outpatient clinic, primary care office, or healthcare center.

Personnel

• Primary care physician or nurse practitioner
• Medical assistant for assisting with the exam and tests

Risks and Complications

• Minimal to no risks as the procedure is mainly evaluative.
• Rare risks may include minor discomfort from physical examination or blood draws.

Benefits

• Early detection of potential health issues.
• Personalized guidance for maintaining or improving health.
• Establishment of a health baseline for future reference.

Recovery

• No recovery time needed as it is a non-invasive procedure.
• Follow any specific recommendations provided by the healthcare provider.
• Schedule follow-up appointments for test results and ongoing care as needed.

Alternatives

• Periodic focused health assessments targeting specific issues.
• Specialized preventive health screenings depending on personal and family medical history.

Patient Experience

• Patients may feel slightly uneasy during the physical examination but typically experience minimal discomfort.
• Blood draws or other minor tests may cause brief discomfort.
• Most patients find the counseling and guidance helpful for adopting healthier lifestyles.