The 2 coding scenarios presented each included travel counseling in addition to other services. However, as shown for the first scenario, these services are not always separately reported.

A 13-year-old established patient presents for a routine health examination during which her parents request advice on health safety during an upcoming monthlong stay overseas. The pediatrician spends approximately 10 minutes discussing potential health concerns, including recommended prophylactic immunization, medical evacuation insurance, and referral to a travel clinic that can provide a recommended immunization not available in the pediatrician’s practice. Diagnoses are routine health examination and pretravel counseling.

Per Current Procedural Terminology (CPT®), preventive medicine counseling codes are not separately reportable in conjunction with preventive medicine evaluation and management (E/M) services (here, 99394). The travel counseling in this encounter would not be separately reported. Had the patient presented with a problem that required management (eg, type 1 diabetes)...

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