CPT code 99394 refers to a routine check-up for teens aged 12 to 17, focusing on health and preventive care. CPT 99394 represents “Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)”.
Procedure Explanation:
This procedure involves a complete health review and preventive care for adolescents. During this visit, a doctor assesses the young person’s health history, performs a physical exam suitable for their age and gender, and offers advice on healthy habits and ways to reduce risks of illness. As part of the check-up, the doctor may also suggest lab tests if needed. It’s important to note that this procedure is not for new patients; it’s meant for those who have visited the doctor before.
Common Names:
- Adolescent Well-Visit
- Teen Health Check
- Annual Youth Physical
Relative Value Units (RVU):
The RVUs associated with this code are 1.7.
How This Procedure Appears:
- Operating Room Schedule Name: Adolescents Preventive Visit
- Surgical Consent Form Name: Comprehensive Teen Health Evaluation
Typical Patients and Diagnoses:
This procedure is typically for teenagers aged 12 to 17 who are getting their regular health evaluations. These check-ups aim to catch any health issues early and keep teens healthy as they grow. Common reasons for these visits might include a routine evaluation for overall wellness or to manage ongoing health conditions like asthma or allergies.
Associated ICD-10 Codes:
- Z00.129: Routine medical examination without abnormal findings for adolescents. This means the check-up showed no significant health issues.
- Z00.121: Routine medical examination with abnormal findings for adolescents. This indicates something unusual was found during the exam.
- Z70.3: Counseling related to one’s health, usually about lifestyle and risk factors, such as smoking or diet.
Summary
In summary, code 99394 describes a comprehensive health check for teens to monitor and guide health behaviors, and help ensure early detection of any concerns. Typical ICD-10 codes associated with 99394 include Z00.129 (no issues found) and Z00.121 (issues found).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.