If a male patient came in for a preventive exam, and provider documented for exam:
Physical Examination: Wt: 204.4 lb Ht/Ln: 70 in BMI: 29.3 BP: 138/92 Pulse: 76 RR: 16 Temp: 98.9F Sat: 98
General: Patient is alert and orientated times three in no acute distress. Well developed, well nourished and well groomed.
Psych: Dynamic affect, makes good eye contact.
HEENT: Head is normocephalic, atraumatic. TMs are clear bilaterally. Oropharynx is non inflamed. Tonsils are large.
Eyes: PERRLA EOM’s intact. Lids and conjunctivae are clear.
Neck: Supple without lymphadenopathy or thyromegaly.
Lungs: Lungs are clear to auscultation bilaterally CV-Heart regular rate and rhythm without click, rub, or murmur. DX Z00.00.
Q: Would you consider this a preventive exam for a male patient?
A: Preventive medicine services are provided to individuals who are not in need of any immediate medical attention but need to undergo periodic health checkups as a preventive measure. Well–baby visits, well-woman visits and routine annual physical check-ups come under the purview of preventive medicine re-evaluation and management services.