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  • Health Assessment Sports Physical Statement Hasps For Cys

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Health Assessment / Sports Physical Statement (HASPS) for CYS SERVICES ENROLLEMENT, Renewal & SPORTS Physical Requirements Revised 12Jan 10 DATA REQUIRED BY THE PRIVACY ACT OF 1994 PRINCIPAL PURPOSE:.

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CODE DESCRIPTION. Initial comprehensive preventive evaluation 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/diagnostic procedures, established patient; Code: 99394.

If you provide independent medical examinations (IMEs), the specific codes for a "work-related or medical disability examination" are either CPT 99455 (by the treating physician) or CPT 99456 (by other than the treating physician).

CPT code 99212 and diagnosis code Z02. 5 should be used to bill for a sports physical. No additional modifier is needed.

ICD-10 code Z02. 5 for Encounter for examination for participation in sport is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

Physicals should be performed yearly and often for adolescents before entrance into sports. The doctor will examine the eyes, ears, nose, throat, mouth, abdomen, back, legs, arms, and thyroid gland. In addition, the doctor will complete an assessment of growth and evaluate pubertal changes.

The ICD-10 diagnosis code(s) for the problem visit must be listed as the primary diagnosis code(s) and the Z02. 5 for the Preparticipation Physical Evaluation (Z02. 5 (examination for participation in sport) must be listed after all other diagnosis code(s).

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232