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99394 Preventive visit established age 12-17

Evaluation & Management

Also known as: preventive recheck adolescent, well teen revisit, preventive follow-up teenager

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 12 through 17 years.

In Plain Language

Teen check-up follow-up; Adolescent preventive follow-up

Clinical Context

Used for periodic preventive care revisit with an adolescent age 12-17 years, including continued health risk screening and counseling.

RVU Breakdown

Work RVU1.70
Total RVU1.70

Est. Medicare Payment

$56.78

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 1.70, this code ranks in the 56th percentile among Evaluation & Management codes — 1.1x the median (1.54). The highest wRVU in this category is 18.46.

Specialties

PediatricsFamily MedicineAdolescent Medicine

Frequently Asked Questions

What is CPT code 99394?

CPT 99394 (Preventive visit established age 12-17) 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 12 through 17 years.

Who uses CPT code 99394?

CPT 99394 is used by Pediatrics, Family Medicine, Adolescent Medicine. Used for periodic preventive care revisit with an adolescent age 12-17 years, including continued health risk screening and counseling.

When is CPT 99394 used?

Used for periodic preventive care revisit with an adolescent age 12-17 years, including continued health risk screening and counseling.

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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.