99402 Preventive medial cnsl indiv apprx 30
Also known as: preventive counseling 30 min, health coaching moderate, risk reduction standard
Preventive medicine, individual counseling; approximately 30 minutes of physician or qualified health professional time devoted to risk factor reduction intervention and patient education.
In Plain Language
Health counseling appointment; Preventive education visit
Clinical Context
Used for individual preventive medicine counseling approximately 30 minutes in duration, addressing multiple health risk factors and lifestyle modifications.
RVU Breakdown
| Work RVU | 0.98 |
| Total RVU | 0.98 |
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 0.98, this code ranks in the 25th percentile among Evaluation & Management codes — 1.6x below the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99402?
CPT 99402 (Preventive medial cnsl indiv apprx 30) is a Evaluation & Management code. Preventive medicine, individual counseling; approximately 30 minutes of physician or qualified health professional time devoted to risk factor reduction intervention and patient education.
Who uses CPT code 99402?
CPT 99402 is used by Family Medicine, Internal Medicine, All Specialties. Used for individual preventive medicine counseling approximately 30 minutes in duration, addressing multiple health risk factors and lifestyle modifications.
When is CPT 99402 used?
Used for individual preventive medicine counseling approximately 30 minutes in duration, addressing multiple health risk factors and lifestyle modifications.
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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.