99393 Preventive visit established age 5-11
Also known as: preventive recheck school age, well child revisit 5-11, preventive follow-up school age
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; age 5 through 11 years.
In Plain Language
School age check-up follow-up; Child preventive follow-up
Clinical Context
Used for periodic preventive care revisit with a child age 5-11 years, including continued immunizations and health risk assessment.
RVU Breakdown
| Work RVU | 1.50 |
| Total RVU | 1.50 |
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 1.50, this code ranks in the 50th percentile among Evaluation & Management codes — 1.0x below the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99393?
CPT 99393 (Preventive visit established age 5-11) 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; age 5 through 11 years.
Who uses CPT code 99393?
CPT 99393 is used by Pediatrics, Family Medicine. Used for periodic preventive care revisit with a child age 5-11 years, including continued immunizations and health risk assessment.
When is CPT 99393 used?
Used for periodic preventive care revisit with a child age 5-11 years, including continued immunizations and health risk assessment.
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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.