What is the CPT code for preventive care visit?
Asked by: Alexis Ferry V | Last update: November 6, 2025Score: 4.3/5 (2 votes)
What is the CPT code for preventive visit?
The Current Procedural Terminology (CPT) code range for Preventive Medicine Services 99381-99429 is a medical code set maintained by the American Medical Association.
What is CPT code 99395 preventive visit?
The 99395 CPT code is used to describe a preventive (well-patient) outpatient office visit for an established patient between the ages of 18 and 39.
What is CPT code 80050 preventive care?
General Health Panel
CPT code 80050, is composed of metabolic panel, a complete blood count and a TSH level. Several different combinations of CPT codes can combine into 80050.
Can you bill 99401 with a preventive visit?
Typically these visits would be considered preventive medicine counseling reported with codes 99401-99404 based on the face-to-face time of the service. Diagnosis code Z71. 84 (“Encounter for health counseling related to travel”) is appropriate for these services.
Let's Talk About Preventative Exams in Medical Coding
What is the difference between 99401 and 99402?
Code 99401 is described as preventive counseling of approximately 15 minutes and can be reported for 8-22 minutes of counseling by a physician or other qualified health care professional. See 99402-99404 for services of 23 minutes or more.
What is CPT code 99441?
CPT codes 99441-99443 cover online health behavior assessment and intervention services, often delivered via telehealth platforms. These codes are essential for documenting the provision of counseling and guidance related to patients' health behaviors.
What is CPT code 80053 preventive?
CPT code 80053 represents a comprehensive metabolic panel (CMP) test, which includes a variety of blood tests to assess electrolyte and fluid balance, as well as liver and kidney function.
Can you bill 96127 with a preventive visit?
Billing Guidelines for 96127
This code is commonly used in the context of preventive medicine services and can also be reported with other E/M services such as acute illness or follow-up office visits.
What is CPT code 82043 used for?
The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable urine test used to diagnose and/or treat patients who have kidney disease.
What is a preventive care visit?
Preventive care helps detect or prevent serious diseases and medical problems before they can become major. Annual check-ups, immunizations, and flu shots, as well as certain tests and screenings, are a few examples of preventive care. This may also be called routine care.
What is the CPT code for annual wellness visit?
AWV Coding. The CPT codes for Annual Wellness Visits are G0438 for the initial visit and G0439 for subsequent visits.
What is CPT code 99385 preventive visit?
CPT code 99385 designates a comprehensive preventive medicine evaluation and management service for new patients, emphasizing the in-depth assessment involved in preventive care.
What is CPT code 99395 for wellness visit?
CPT code 99395 designates a comprehensive preventive medicine evaluation and management service for established patients, emphasizing the in-depth assessment involved in preventive care.
Can a dermatologist bill for preventive care?
It would NOT be appropriate for a dermatologist to report a code from the Preventive Medicine range (CPT 99381-99397) because a dermatologist is a specialist.
What is the difference between a physical and an annual wellness visit?
While a physical includes a full examination and a wellness evaluation, an Annual Wellness Visits focuses solely on a patient's answers to a health risk assessment. It does not typically include any lab work or tests requiring physical contact.
What is the difference between 96127 and 96160?
Codes 96110, 96160, and 96161 are typically limited to developmental screening and the health risk assessment (HRA). However, code 96127 should be reported for both screening and follow-up of emotional and behavioral health conditions. The purpose of the screening or assessment should guide code selection.
Can you bill 99214 and 96127 together?
Yes, 96127 and 99214 are frequently billed together. 99214 is the code used for established patient office visits that last 30 to 39 minutes. So if an established patient comes to your office for a check-up and you deliver a standardized screening instrument, then both of these codes would be billed.
What is CPT code 99213 used for?
CPT® code 99213: Established patient office or other outpatient visit, 20-29 minutes. As the authority on the CPT® code set, the AMA is providing the top-searched codes to help remove obstacles and burdens that interfere with patient care.
What diagnosis will cover 96127?
CPT code 96127 is used to report brief emotional and behavioral assessments using standardized instruments (AMA; AAP). This includes screenings for developmental status and various mental health conditions such as ADHD, depression, suicidal risk, anxiety, substance abuse, and eating disorders.
Why am I being charged for preventive care?
Although you don't pay cost-sharing charges when you receive preventive care, the cost of those services is wrapped into the cost of your health insurance. Thus, whether or not you choose to get the recommended preventive care, you're paying for it through the cost of your health insurance premiums anyway.
What is the CPT code 99440?
CPT specifically states, "Do not report 99436 in conjunction with 99440." Therefore, you should always bill 99440 when you perform both delivery-room attendance and resuscitation. The work of attending a delivery is included in the relative value of 99440, which has a significantly higher payment than 99436.
What is the billing code 99451?
Code 99451 is reported by the consultant, allowing him/her to access data/information through the electronic health record (EHR), in addition to telephone or internet. Code 99452 is reported by the requesting/treating physician/QHP (e.g., the primary care physician).