CPT Code 99396: Preventive Medicine Visit (Established Patient)

CPT codes 99396 and 99395 are both used for preventive medicine visits for established patients but differ by age: 99395 applies to patients aged 18–39 years, while 99396 applies to those aged 40–64 years. Both codes cover comprehensive evaluations, screenings, and counseling, but align with age-specific health risks and guidelines.

The CPT code for an annual preventive exam depends on the patient’s age and status (new/established). For established patients, use 99391–99397 (e.g., 99396 for ages 40–64). For new patients, use 99381–99387 (e.g., 99386 for ages 40–64). These codes include comprehensive history, physical exams, screenings, and counseling.

CPT code 99396 is for established patients aged 40–64 years during their preventive medicine visit. It includes age-appropriate services like screenings, immunizations, and counseling tailored to midlife health risks.