Preventive Care Avg. $110

CPT 99392: Preventive Visit, Established Patient, Age 1-4

Periodic comprehensive preventive medicine reevaluation and management of an established patient, age 1 through 4 years.

Why CPT 99392 Claims Get Denied

Claims billed under CPT 99392 are frequently denied or downcoded for the following reasons. Understanding these patterns helps your practice reduce denial rates and recover revenue faster.

Annual visit frequency exceeded

Bundled with sick visit E/M without modifier

Diagnosis code not appropriate for preventive visit

Documentation insufficient for comprehensive exam

Billing Tips for CPT 99392

Bill with appropriate Z-code. Track well-child visit frequency per payer limits. Some Medicaid programs cover more frequent visits than once per year for this age group.

Documentation Requirements

To support a clean claim for CPT 99392, your clinical documentation should include:

Interval history since last well visit

Complete physical examination

Developmental assessment

Nutritional assessment

Immunization review and updates

Anticipatory guidance

Common Modifiers for CPT 99392

Modifier 25
Modifier 33

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