CPT Code 99385: Initial Preventive E/M, Age 18–39

CPT code 99385 is used for a comprehensive preventive visit for new adult patients. It includes taking a complete medical history, performing a physical exam, offering counseling on health risks and prevention, and conducting necessary screenings. This proactive checkup helps catch potential health issues early and maintain overall wellness.

This code applies to new patients between 18 and 39 years old. It’s meant for young adults, helping establish a baseline of care as they transition into adulthood.

The primary distinction is the patient’s status. CPT code 99385 is for new patients, meaning it’s their first preventive visit with that provider. In contrast, 99395 is for established patients—those who have had prior visits with the healthcare provider. Both codes are for preventive care but are based on the patient-provider relationship.