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Periodic comprehensive preventive medicine reevaluation 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/diag

CPT4 code

Name of the Procedure:

Periodic Comprehensive Preventive Medicine Reevaluation and Management
Common Name(s): Annual Check-up, Preventive Health Screening

Summary

This procedure is a routine medical evaluation focused on maintaining and improving your overall health. It includes a complete examination, discussion of your medical history, lifestyle counseling, and preventive tests. It helps catch potential health issues early and manage any ongoing concerns.

Purpose

The goal of this comprehensive reevaluation is to assess and monitor your health, detect any emerging medical issues, and provide interventions that can reduce risks of developing certain conditions. It aims to keep you healthy by promoting preventive measures and timely management of any identified risks.

Indications

This procedure is recommended for all individuals at regular intervals, typically once a year. It is especially pertinent for those with risk factors for chronic diseases (e.g., hypertension, diabetes), a history of significant health issues, or lifestyle factors that increase health risks.

Preparation

  • Follow any specific instructions provided by your healthcare provider, such as fasting before blood tests.
  • Bring a list of any current medications, supplements, and over-the-counter drugs you are taking.
  • Note any symptoms or health concerns you wish to discuss.

Procedure Description

  1. Medical History: Discussion regarding your medical history, family history, medications, and any symptoms or concerns.
  2. Physical Examination: Comprehensive physical exam including measuring vital signs such as blood pressure, heart rate, and BMI.
  3. Laboratory Tests: Ordering of blood work and other diagnostic tests as needed (e.g., cholesterol levels, blood sugar).
  4. Counseling and Guidance: Tailored advice on diet, exercise, smoking cessation, alcohol use, mental health, and other lifestyle factors.
  5. Risk Factor Management: Identification and management of potential risk factors for diseases, with recommendations for intervention.
  6. Vaccinations: Update on vaccinations according to age and health status.
  7. Follow-up: Scheduling any necessary follow-up appointments or additional tests.

Duration

Typically, the entire visit lasts about 30 minutes to an hour.

Setting

This procedure is usually performed in an outpatient setting such as a primary care office or clinic.

Personnel

  • Primary Care Physician (PCP) or General Practitioner (GP)
  • Nurses
  • Medical Assistants

Risks and Complications

  • Minimal risks are associated with the preventive care aspects of this procedure.
  • Possible minor discomfort from blood draws or injections.
  • Rarely, false positives from diagnostic tests might require additional follow-up.

Benefits

  • Early detection of potential health issues.
  • Personalized strategies to improve health and prevent disease.
  • Improved overall health and longevity with consistent monitoring and care.

Recovery

  • No significant recovery time is needed.
  • Follow any specific advice given by your healthcare provider regarding lifestyle changes or medication adjustments.
  • Attend any recommended follow-up appointments.

Alternatives

  • Depending on your specific health needs, alternatives may include more specialized evaluations such as visits to specific specialists (e.g., cardiologist).
  • Consistent home monitoring of health metrics like blood pressure and glucose can complement these visits.

Patient Experience

During the procedure, expect a thorough discussion of your health and any concerns you have. Physical examinations and tests may involve some minor discomfort but are generally well-tolerated. Your healthcare provider will ensure your comfort and address any questions you have to make it as pleasant and informative as possible.

Medical Policies and Guidelines for Periodic comprehensive preventive medicine reevaluation 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/diag

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