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Current Procedural Terminology (CPT Codes)

Evaluation and Management Services

  • Code: 99201–99205
  • Description: New patient office visit
  • Code: 99211–99215
  • Description: Established patient office visit
  • Code: 99241–99245
  • Description: Outpatient consultation (new or established)

Preventive Medicine Services

  • Code: 99384
  • Description: Initial comprehensive preventive medicine evaluation 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, new patient; adolescent (age 12–17 years)
  • Code: 99385
  • Description: 18–39 years
  • Code: 99386
  • Description: 40–64 years
  • Code: 99401
  • Description: Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes
  • Code: 99402
  • Description: Approximately 30 minutes
  • Code: 99403
  • Description: Approximately 45 minutes
  • Code: 99404
  • Description: Approximately 60 minutes
  • Code: 99408
  • Description: Alcohol and/or substance (other than tobacco) abuse, structured screening (eg, AUDIT, DAST), and brief intervention (SBI) service; 15 to 30 minutes *** Do not report services of less than 15 minutes with 99408
  • Code: 99409
  • Description: Greater than 30 minutes. *** Do not report 99409 in conjunction with 99408. Use 99408 or 99409 only for initial screening and brief intervention
  • Code: 99411
  • Description: Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 30 minutes
  • Code: 99412
  • Description: Approximately 60 minutes

Drug Screening

  • Code: 80305
  • Description: Drug test(s), presumptive, any number of drug classes, any number of devices or procedures, (eg, immunoassay) capable of being read by direct optical observation only (eg, dipsticks, cups, cards, cartridges) includes sample validation when performed, per date of service
  • Code: 80306
  • Description: Read by instrument assisted direct optical observation (eg, dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service

Miscellaneous Services

  • Code: 96160
  • Description: Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument
  • Code: 99071
  • Description: Educational supplies, such as books, tapes, or pamphlets, provided by the physician for the patient’s education at cost to the physician
  • Code: 99078
  • Description: Physician or other qualified health care professional qualified by education, training, licensure/regulation (when applicable) educational services rendered to patients in a group setting (eg, prenatal, obesity, or diabetic instructions)

Medicare G Codes

  • Code: G0396
  • Description: Alcohol and/or substance (other than tobacco) abuse structured assessment (eg, AUDUT, DAST), and brief intervention 15 to 30 minutes
  • Code: G0397
  • Description: Alcohol and/or substance (other than tobacco) abuse structured assessment (eg, AUDUT, DAST), and brief intervention more than 30 minutes
  • Code: G0442
  • Description: Annual alcohol misuse screening, 15 minutes
  • Code: G0443
  • Description: Brief face-to face behavioral counseling for alcohol misuse, 15 minutes

Medicare H Codes

  • Code: H0049
  • Description: Alcohol and/or drug screening