99404 Preventive medial cnsl indiv apprx 60
Also known as: preventive counseling 60 min, health coaching intensive, risk reduction comprehensive
Preventive medicine, individual counseling; approximately 60 minutes of physician or qualified health professional time devoted to risk factor reduction intervention and patient education.
In Plain Language
Comprehensive health counseling; Intensive preventive coaching
Clinical Context
Used for individual preventive medicine counseling approximately 60 minutes in duration, providing intensive risk factor reduction intervention and comprehensive patient education.
RVU Breakdown
| Work RVU | 1.95 |
| Total RVU | 1.95 |
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 1.95, this code ranks in the 65th percentile among Evaluation & Management codes — 1.3x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99404?
CPT 99404 (Preventive medial cnsl indiv apprx 60) is a Evaluation & Management code. Preventive medicine, individual counseling; approximately 60 minutes of physician or qualified health professional time devoted to risk factor reduction intervention and patient education.
Who uses CPT code 99404?
CPT 99404 is used by Family Medicine, Internal Medicine, All Specialties. Used for individual preventive medicine counseling approximately 60 minutes in duration, providing intensive risk factor reduction intervention and comprehensive patient education.
When is CPT 99404 used?
Used for individual preventive medicine counseling approximately 60 minutes in duration, providing intensive risk factor reduction intervention and comprehensive patient education.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.