7.2.5.1 Annual Adult Well-CheckAn annual adult physical exam performed by the client's primary care provider is an additional benefit of the STAR Program for clients 21 years of age and older. The annual physical exam is performed in addition to family planning services. This service is provided to healthy individuals for the purpose of promoting health and preventing injury or illness. The annual examination should be age and health risk appropriate and should include all the clinically indicated elements of history, physical examination, laboratory/diagnostic examination, and patient counseling that are consistent with good medical practice. Providers are encouraged to adopt a nationally recognized, evidence-based standard for the elements of the annual exam, such as the guidelines published by the American Academy of Family Physicians at www.aafp.org. This service is only reimbursable when performed by the current designated primary care provider on the date of service and is allowed once per state fiscal year (September 1 through August 31), per client. The following appropriate codes may be billed:
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Texas Medicaid & Healthcare Partnership CPT only copyright 2007 American Medical Association. All rights reserved. |
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