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99391 Per pm reeval established pat infant

Evaluation & Management

Also known as: preventive recheck infant, well baby revisit, preventive follow-up newborn

Periodic comprehensive preventive medicine re-evaluation and management of an individual including age and gender appropriate history, examination, counseling, and risk factor reduction interventions, established patient; infant (less than 1 year).

In Plain Language

Baby check-up follow-up; Infant preventive follow-up

Clinical Context

Used for periodic preventive care revisit with an infant less than 1 year of age, including continued development monitoring and immunization management.

RVU Breakdown

Work RVU1.37
Total RVU1.37

Est. Medicare Payment

$45.76

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 1.37, this code ranks in the 39th percentile among Evaluation & Management codes — 1.1x below the median (1.54). The highest wRVU in this category is 18.46.

Specialties

PediatricsFamily Medicine

Frequently Asked Questions

What is CPT code 99391?

CPT 99391 (Per pm reeval established pat infant) is a Evaluation & Management code. Periodic comprehensive preventive medicine re-evaluation and management of an individual including age and gender appropriate history, examination, counseling, and risk factor reduction interventions, established patient; infant (less than 1 year).

Who uses CPT code 99391?

CPT 99391 is used by Pediatrics, Family Medicine. Used for periodic preventive care revisit with an infant less than 1 year of age, including continued development monitoring and immunization management.

When is CPT 99391 used?

Used for periodic preventive care revisit with an infant less than 1 year of age, including continued development monitoring and immunization management.

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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.