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99395 Preventive visit established age 18-39

Evaluation & Management

Also known as: preventive recheck adult, well adult revisit, preventive follow-up young adult

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 18 through 39 years.

In Plain Language

Adult check-up follow-up; Young adult preventive follow-up

Clinical Context

Used for periodic preventive care revisit with an adult age 18-39 years, including continued health risk assessment and preventive counseling.

RVU Breakdown

Work RVU1.75
Total RVU1.75

Est. Medicare Payment

$58.45

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 1.75, this code ranks in the 58th percentile among Evaluation & Management codes — 1.1x the median (1.54). The highest wRVU in this category is 18.46.

Specialties

Family MedicineInternal Medicine

Frequently Asked Questions

What is CPT code 99395?

CPT 99395 (Preventive visit established age 18-39) 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 18 through 39 years.

Who uses CPT code 99395?

CPT 99395 is used by Family Medicine, Internal Medicine. Used for periodic preventive care revisit with an adult age 18-39 years, including continued health risk assessment and preventive counseling.

When is CPT 99395 used?

Used for periodic preventive care revisit with an adult age 18-39 years, including continued health risk assessment and preventive 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.