Originally published September 28, 2017. Payer rules change; confirm current CMS and payer requirements before billing.
- 99381–99387
- Initial comprehensive preventive medicine evaluation and management
- 99391–99397
- Periodic comprehensive preventive medicine reevaluation and management
These codes include care for preexisting conditions or minor problems, and exclude behavior change interventions (99406–99409). Offices often call these visits physicals, well checks, annual exams or routine exams.
Risk factor and behavior change counseling
- 99401–99405: preventive counseling or risk factor reduction at an encounter separate from the preventive exam, such as family problems, diet and exercise
- 99406–99407: smoking and tobacco cessation counseling
- 99408–99409: alcohol or substance abuse structured screening
Medicare
Medicare doesn't cover these preventive medicine codes. For behavioral counseling for obesity, CMS recognizes two HCPCS codes:
- G0447
- Face-to-face behavioral counseling for obesity, 15 minutes
- G0473
- Face-to-face behavioral counseling for obesity, group (2–10), 30 minutes