CPT 99397, cpt code 99397, 99397 cpt code

CPT Code 99397 | Established Well–Patient Visit (65 Or Older)

CPT 99397 can be used for periodic comprehensive preventive medicine re-evaluation and management visits for established patients aged 65 or older.

What Is CPT Code 99397?

CPT code 99397 describes a specific type of medical service known as a “Periodic comprehensive preventive medicine re-evaluation and management” visit. This service is intended for established patients 65 years of age or older.

The service includes age and gender-appropriate history and examination. This is done to identify potential risk factors and other issues that may be relevant to the patient’s health.

The provider will also provide counseling, anticipatory guidance, and interventions to reduce risk factors. The service also includes the ordering of laboratory or diagnostic procedures that may be necessary.

The goal of CPT 99397 is to provide comprehensive preventive care for older patients, including evaluating their current health status and identifying any potential health risks.

99397 also includes guidance and interventions to help the patient to reduce their risk factors and maintain their health over time.


The CPT book describes CPT code 99397 as: “Periodic comprehensive preventive medicine re-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; 65 years and older.”


The goal of the 99397 procedure is to ensure that older patients have the necessary information and resources to maintain their health and well-being.

The provider carries out a well-patient visit for a patient 65 years or older.

Next, they provide preventive medicine re-evaluation and management services to the established.

The E/M (evaluation and management) service provided during this visit includes a comprehensive history and examination.

This examination is carried out to determine any potential risk factors the patient may have and to provide counseling and guidance on preventing these risk factors from becoming a problem.

Additionally, any laboratory or diagnostic tests performed during the visit can be separately reported, as well as any immunization services provided.

How To Use CPT 99397

It is important to note that CPT 99397 is distinct from other medical visits where a patient is seeking treatment for a specific problem.

The provider will take into account the age, gender, and risk factors of the patient when providing the preventive service. This information is used to guide the patient history, examination, and age and gender-related risk factors assessment.

During the CPT code 99397 visit, the provider may also order and perform diagnostic or laboratory procedures and administer immunizations as needed.

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