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CPT Code 99396 | Well-Patient Visit For Established Patient Of 40 And 65 Years

CPT code 99396 describes a well-patient visit for an established patient between the age of 40 and 65.

What Is CPT Code 99396?

CPT code 99396 is a Current Procedural Terminology (CPT) code used to report the comprehensive preventive medicine evaluation and management of an individual between the ages of 40 and 65.

This evaluation includes a comprehensive history, physical examination, counseling/anticipatory guidance/risk reduction interventions, and ordering appropriate immunizations and laboratory/diagnostic tests.

The CPT code 99396 is used to report a comprehensive preventive medicine visit and is typically provided to patients who are healthy or have a low risk of developing medical problems.


The CPT book describes CPT 99396 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; 40-64 years.”


Code 99396 reports a preventive medicine re–evaluation and management service provided to a patient who is established and is 40–64 years old.

The E/M service includes a comprehensive history and examination appropriate for the patient’s age and gender, along with counseling and guidance to prevent risk factors.

You may separately report laboratory/diagnostic tests performed and immunization services provided during the visit.


CPT Professional 2022

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