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Did You Know? Arkansas Total Care Covers Adult Wellness Visits

Date: 04/15/24

Annual Physical Exams1

Annual physicals or routine comprehensive physical exams (CPE) are performed without relationship to treatment or diagnosis for a
specific illness, symptom, complaint, or injury. The extent and focus of the exam depends on the age and gender of the patient. An annual CPE includes an appropriate history/exam with risk counseling and/or intervention. 

Exam Description and CPT® Code:
PATIENT AGE
INITIAL EXAMSUBSEQUENT EXAM

Less than 1 year
9938199391
1-4 years9938299392
5-11 years
9938399393
12-17 years
9938499394
18-39 years
9938599395
40-64 years9938699396
65 years and older9938799397

1 https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/preventive-services/medicare-wellness-visits.html

For additional information, contact Arkansas Total Care Provider Services at 1-800-294-3557 or Providers@ArkansasTotalCare.com.