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CPT 99396

Preventive Visit - 40-64 years

30-40 minutes
1.75 work RVU
4 requirements

Documentation Requirements

  1. 1Comprehensive history and review of systems
  2. 2Complete physical examination
  3. 3Age-appropriate cancer screening discussion
  4. 4Cardiovascular risk assessment

Billing Tips

  • •Include cancer screening counseling documentation
  • •Document cardiovascular risk factors
  • •Medicare uses G0438/G0439 instead for AWV

Frequently Asked Questions

What screenings should be documented for 99396?

Document discussion of colon cancer screening (45+), breast cancer screening (40+), cervical cancer screening, cardiovascular risk, and diabetes screening as appropriate.

Automate Annual Physical 40-64 Documentation

Scribeable captures all required elements for CPT 99396 from your patient conversation. Generate compliant notes from the conversation itself.

Common Diagnoses

Z00.00Z12.11Z12.31

Related Specialties

primary careinternal medicine

Related Procedures

CPT 993951.50 work RVU

Annual Physical 18-39

CPT G04382.43 work RVU

Initial AWV

CPT G04391.50 work RVU

Subsequent AWV

CPT 992131.30 work RVU

Office Visit Level 3

CPT 99396: Preventive Visit - 40-64 years

Documentation Requirements

  1. Comprehensive history and review of systems
  2. Complete physical examination
  3. Age-appropriate cancer screening discussion
  4. Cardiovascular risk assessment

Billing Tips

  • Include cancer screening counseling documentation
  • Document cardiovascular risk factors
  • Medicare uses G0438/G0439 instead for AWV

Frequently Asked Questions

What screenings should be documented for 99396?

Document discussion of colon cancer screening (45+), breast cancer screening (40+), cervical cancer screening, cardiovascular risk, and diabetes screening as appropriate.

Related Procedures

  • CPT 99395: Annual Physical 18-39
  • CPT G0438: Initial AWV
  • CPT G0439: Subsequent AWV
  • CPT 99213: Office Visit Level 3

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