Can you provide a cheat sheet for family medicine coding?


Editorial team Published on

You can find printable reference tools and coding guides through the American Academy of Family Physicians (AAFP) Toolbox.

Outpatient Evaluation and Management (E/M) Office Visits

  • 99213: Established patient, low complexity (e.g., stable chronic illness or minor acute issue).
  • 99214: Established patient, moderate complexity (e.g., two or more stable chronic illnesses, or one worsening chronic illness).
  • 99202 / 99203: New patient, straightforward to low complexity.
  • 99204: New patient, moderate complexity.

Preventive Medicine & Wellness

  • 99395 - 99396: Preventive visit / annual physical exam by age group (e.g., 99396 for ages 40–64).
  • G0438: Initial Medicare Annual Wellness Visit (AWV).
  • G0439: Subsequent Medicare Annual Wellness Visit (AWV).

Common Injections & Office Procedures

  • 90471: Immunization administration for the first vaccine.
  • 90472: Administration for each additional vaccine.
  • 36415: Routine venipuncture (blood draw).
  • 96372: Therapeutic, prophylactic, or diagnostic injection (sc/im).

Common Modifiers

  • Modifier 25: Significant, separately identifiable E/M service by the same physician on the same day as a procedure or other service.