Search all medical codes

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 (CPEM) Common name(s): Annual Physical Exam, Wellness Checkup

Summary

A Periodic Comprehensive Preventive Medicine Reevaluation and Management, commonly known as an annual physical exam or wellness checkup, is a thorough evaluation of your overall health. This exam includes reviewing your medical history, performing a physical examination, providing health counseling, and ordering any necessary laboratory tests to monitor and maintain your health.

Purpose

  • Medical condition/problem it addresses: Regular health maintenance and early detection of diseases.
  • Goals/expected outcomes: To identify any potential health issues early, help manage existing health conditions, provide guidance on maintaining a healthy lifestyle, and reduce the risk of future health problems.

Indications

  • Specific symptoms/conditions: No specific symptoms are required; this procedure is intended for all individuals for preventive care.
  • Patient criteria: Recommended for all adults and children at intervals appropriate for their age and medical history.

Preparation

  • Pre-procedure instructions: Patients may need to fast if specific blood tests will be part of the evaluation. They should also bring a list of current medications and any relevant medical records.
  • Diagnostic tests/assessments required beforehand: None typically required, unless specified by your healthcare provider.

Procedure Description

  1. History: The healthcare provider will review your medical history, including family history, lifestyle habits, and any current symptoms or concerns.
  2. Examination: A thorough physical examination will be conducted, including vital signs like blood pressure, heart rate, temperature, and respiratory rate.
  3. Counseling/Guidance: The provider will offer advice on diet, exercise, preventive care, and lifestyle changes to mitigate risk factors.
  4. Interventions: Risk factor reduction strategies may be discussed, like smoking cessation programs or weight loss plans.
  5. Laboratory/Diagnostics: Appropriate tests may be ordered, such as blood work, cholesterol screening, or other age and gender-specific tests.

Tools/Equipment: Stethoscope, blood pressure cuff, thermometer, and other routine diagnostic tools. Anesthesia/Sedation: Not applicable.

Duration

Typically, 30 minutes to 1 hour, depending on the complexity of the patient's health status.

Setting

Performed in a primary care setting, such as a doctor's office, outpatient clinic, or wellness center.

Personnel

  • Primary Care Physician or Nurse Practitioner
  • Medical Assistants

Risks and Complications

  • Common risks: Minimal as the procedure is non-invasive.
  • Rare risks: Potential for discomfort during certain tests (e.g., blood draw), but serious complications are highly unlikely.

Benefits

  • Expected benefits: Early detection and management of potential health issues, tailored health advice, and proactive risk reduction strategies.
  • How soon they are realized: Benefits are ongoing and contribute to long-term health improvement.

Recovery

  • Post-procedure care/instructions: Typically none required. Follow any specific advice from your healthcare provider.
  • Expected recovery time: Immediate return to normal activity.
  • Restrictions/follow-up: Follow-up appointments may be scheduled based on test results or specific health concerns.

Alternatives

  • Other treatment options: None for general preventive care, but if specific issues are detected, alternative treatments for those conditions will be discussed.
  • Pros and cons: Alternatives like specialized screenings (e.g., cardiology exams) may be recommended based on individual risk profiles.

Patient Experience

  • What to expect: A straightforward and routine process with a review of your health history, a physical exam, and some discussions. Potential discomfort from blood draws or other minor tests.
  • Pain management/comfort: Minimal pain, if any, with standard comfort measures provided for minor procedures like blood tests.

    Remember, regular health evaluations can significantly contribute to long-term well-being, so keeping your appointments is essential for maintaining good health.

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

Related policies from health plans

Similar Codes