99382 initial pm e/m new pat 1-4 yrs
Also known as: preventive exam toddler, well child visit 1-4, preventive care toddler
Initial comprehensive preventive medicine evaluation and management of an individual including age and gender appropriate history, examination, counseling, and risk factor reduction interventions, established patient; age 1 through 4 years.
In Plain Language
Young child health check-up; Toddler preventive visit
Clinical Context
Used for comprehensive preventive care visit with a child age 1-4 years, including developmental assessment, immunizations, nutrition counseling, and injury prevention guidance.
RVU Breakdown
| Work RVU | 1.60 |
| Total RVU | 1.60 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
E&M codes require documentation of medical decision-making (MDM) complexity or total time spent on the encounter. For 2026, time-based coding includes all physician time on the date of the encounter.
How This Code Compares
With a work RVU of 1.60, this code ranks in the 53rd percentile among Evaluation & Management codes — 1.0x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99382?
CPT 99382 (initial pm e/m new pat 1-4 yrs) is a Evaluation & Management code. Initial comprehensive preventive medicine evaluation and management of an individual including age and gender appropriate history, examination, counseling, and risk factor reduction interventions, established patient; age 1 through 4 years.
Who uses CPT code 99382?
CPT 99382 is used by Pediatrics, Family Medicine. Used for comprehensive preventive care visit with a child age 1-4 years, including developmental assessment, immunizations, nutrition counseling, and injury prevention guidance.
When is CPT 99382 used?
Used for comprehensive preventive care visit with a child age 1-4 years, including developmental assessment, immunizations, nutrition counseling, and injury prevention guidance.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.