99401 Preventive medial cnsl indiv apprx 15
Also known as: preventive counseling brief, health coaching 15 min, risk reduction brief
Preventive medicine, individual counseling; approximately 15 minutes of physician or qualified health professional time devoted to risk factor reduction intervention and patient education.
In Plain Language
Brief health counseling; Quick preventive advice
Clinical Context
Used for brief individual preventive medicine counseling focused on health risk reduction, such as lifestyle modification education or disease prevention strategies.
RVU Breakdown
| Work RVU | 0.48 |
| Total RVU | 0.48 |
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 0.48, this code ranks in the 7th percentile among Evaluation & Management codes — 3.2x below the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99401?
CPT 99401 (Preventive medial cnsl indiv apprx 15) is a Evaluation & Management code. Preventive medicine, individual counseling; approximately 15 minutes of physician or qualified health professional time devoted to risk factor reduction intervention and patient education.
Who uses CPT code 99401?
CPT 99401 is used by Family Medicine, Internal Medicine, All Specialties. Used for brief individual preventive medicine counseling focused on health risk reduction, such as lifestyle modification education or disease prevention strategies.
When is CPT 99401 used?
Used for brief individual preventive medicine counseling focused on health risk reduction, such as lifestyle modification education or disease prevention strategies.
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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.