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99385 Preventive visit new age 18-39

Evaluation & Management

Also known as: preventive exam adult, well adult visit, preventive care young adult

Initial comprehensive preventive medicine evaluation and management of an individual including age and gender appropriate history, examination, counseling, and risk factor reduction interventions, new patient; age 18 through 39 years.

In Plain Language

Adult health check-up; Young adult preventive visit

Clinical Context

Used for comprehensive preventive care visit with an adult age 18-39 years, including risk assessment, counseling on disease prevention, and age-appropriate screenings.

RVU Breakdown

Work RVU1.92
Total RVU1.92

Est. Medicare Payment

$64.13

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 1.92, this code ranks in the 65th percentile among Evaluation & Management codes — 1.2x the median (1.54). The highest wRVU in this category is 18.46.

Specialties

Family MedicineInternal Medicine

Frequently Asked Questions

What is CPT code 99385?

CPT 99385 (Preventive visit new age 18-39) 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, new patient; age 18 through 39 years.

Who uses CPT code 99385?

CPT 99385 is used by Family Medicine, Internal Medicine. Used for comprehensive preventive care visit with an adult age 18-39 years, including risk assessment, counseling on disease prevention, and age-appropriate screenings.

When is CPT 99385 used?

Used for comprehensive preventive care visit with an adult age 18-39 years, including risk assessment, counseling on disease prevention, and age-appropriate screenings.

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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.