What does CPT code 99385 mean?

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What does CPT code 99385 mean?​

Code Information. 99385 – CPT® Code in category: 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.
How much does preventive medicine cost in CPT code 99397?
Example CPT Code Charge Preventive medicine visit Established patient, over 65 years old 99397 $225 Patient total out-of-pocket may be up to $50 + $17.56 = $67.50 Note: Medigap will pay the secondary insurance amount but not the additional charge for the preventive medicine service that is not covered.
What does 99393 mean in medical terms?
99393 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; late childhood (age 5 through 11 years)

What is the referral condition code for Procedure Code 99381-99384?​

A claim with a procedure code that falls within the procedure code range of 99381-99384 or 99391-99394 must also contain the appropriate referral condition code NU, AV, S2 or ST in Form Item Number 24H shaded for paper on the CMS 1500 form or the SV111 segment with a CRC qualifier for EDI.

What are the work relative value units (RVU) for office-based E/M codes 99202-99215?
The work relative value units (RVUs) for office-based E/M codes 99202-99215 increased on Jan. 1 as part of the 2021 Medicare Physician Fee Schedule. (See the new values in the table below.) The increased values were part of a broader effort to reform E/M coding and reduce the documentation burden.
How is the RVU calculated?
The RVU calculation results are based on the values supplied by CMS in the 2020 National Physician Fee Schedule Relative Value File. Work RVUs are the most frequently utilized component of the Resource-Based Relative Value Scale (RBRVS).

How will the E/M code RVU increases affect family physicians?​

How the E/M code RVU increases could affect family physicians’ pay The work relative value units (RVUs) for office-based E/M codes 99202-99215 increased on Jan. 1 as part of the 2021 Medicare Physician Fee Schedule. (See the new values in the table below.)