CPT 99387: Preventive Visit, New Patient, Age 65+
Initial comprehensive preventive medicine evaluation and management of a new patient, age 65 years and older.
Why CPT 99387 Claims Get Denied
Claims billed under CPT 99387 are frequently denied or downcoded for the following reasons. Understanding these patterns helps your practice reduce denial rates and recover revenue faster.
Medicare uses IPPE/AWV codes instead of 99387
Frequency limit exceeded
Not covered under Medicare (use G0438/G0439 for AWV)
Missing appropriate diagnosis code
Billing Tips for CPT 99387
For Medicare patients, use G0402 (IPPE) or G0438/G0439 (Annual Wellness Visit) instead. Commercial payers may accept 99387. Always verify which code the payer requires for seniors. Bill separately for any problem-focused E/M with modifier 25.
Documentation Requirements
To support a clean claim for CPT 99387, your clinical documentation should include:
Comprehensive geriatric history
Complete physical examination
Functional assessment
Fall risk assessment
Cognitive screening
Medication reconciliation
Advance care planning discussion
Common Modifiers for CPT 99387
Reduce CPT 99387 Denials by 60%
RediClaim's pre-submission scrubber catches documentation gaps and coding errors before you submit, while the appeal generator handles denials that slip through.