7+ 99397 CPT Code Definition: Expert Guide

99397 cpt code definition

7+ 99397 CPT Code Definition: Expert Guide

This numeric identifier represents a specific service within the Current Procedural Terminology (CPT) coding system. It signifies a periodic comprehensive preventive medicine reevaluation and management service for individuals aged 18-39 years. Such an encounter includes a comprehensive history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and ordering of laboratory/diagnostic procedures. As an example, a physician conducting a routine physical examination and providing related preventative care to a 25-year-old patient would likely utilize this code for billing purposes.

Accurate assignment of this particular designator is vital for compliant and efficient healthcare billing and reimbursement. Proper use ensures healthcare providers receive appropriate compensation for the services rendered, while also maintaining data integrity within the healthcare system. Historically, the establishment and refinement of CPT codes, including this specific one, has aimed to standardize medical reporting and facilitate communication among providers, payers, and regulatory bodies. This promotes transparency and allows for effective tracking of healthcare utilization patterns.

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