CPT 99384: Preventive Visit, New Patient, Age 12-17
Initial comprehensive preventive medicine evaluation and management of a new patient, age 12 through 17 years. Adolescent preventive visit with age-appropriate assessments.
Why CPT 99384 Claims Get Denied
Claims billed under CPT 99384 are frequently denied or downcoded for the following reasons. Understanding these patterns helps your practice reduce denial rates and recover revenue faster.
Annual preventive visit frequency limit exceeded
Missing or incorrect preventive diagnosis code
Bundled with sports physical or camp physical
Same-day E/M without modifier 25
Billing Tips for CPT 99384
Bill with Z00.3 (encounter for examination for adolescent development state) or Z00.00/Z00.01. Sports physicals may require a different billing approach depending on the payer. Document all risk factor assessments including substance use screening.
Documentation Requirements
To support a clean claim for CPT 99384, your clinical documentation should include:
Comprehensive adolescent history including HEADSS assessment
Complete physical examination
Depression and substance use screening
Immunization review (HPV, Tdap, MCV4)
Reproductive health counseling as appropriate
Anticipatory guidance
Common Modifiers for CPT 99384
Reduce CPT 99384 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.