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CPT 99394 | Preventive Medicine Services (Age 12 Through 17 years)

CPT code 99394 is for a preventive medicine reevaluation and management service for adolescents between the ages of 12 and 17.

What Is CPT Code 99394?

CPT code 99394 refers to a preventive medicine reevaluation and management service for adolescents between the ages of 12 and 17 who are established, patients.

The service includes:

  • A comprehensive history and examination.
  • Counseling and guidance for risk factor reduction.
  • The ordering of laboratory or diagnostic tests.

Immunization services can also be separately reported if provided during the visit.

Description

The CPT book describes CPT code 99394 as: “Periodic comprehensive preventive medicine reevaluation 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; adolescent (age 12 through 17 years).”

Procedure

CPT code 99394 reports a preventive medicine re–evaluation and management service provided to an adolescent who is an established patient and is 12–17 years old.

The E/M service includes a comprehensive history and examination appropriate for the adolescent’s age and gender, along with counseling and guidance for preventing risk factors. In addition, you may separately report laboratory/diagnostic tests performed and immunization services provided during the visit.

How To Use CPT 99394

Preventive medicine services such as CPT 99394 are designed for individuals who do not require immediate medical attention but need periodic checkups to maintain good health. These services include well-baby visits, well-woman visits, and routine annual physicals.

They differ from other medical visits where the patient has a specific problem requiring treatment. The age, gender, and risk factors of the individual are essential considerations when providing a preventive medicine service.

The provider considers these factors when taking the patient’s history, performing the exam, and assessing age and gender-related risk factors. They may also order diagnostic tests and administer immunizations during the preventive service.

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