Code: 99392
Description: 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; early childhood (age 1 through 4 years)
Context: This code is used for comprehensive preventive medicine services for early childhood patients, specifically aged 1 through 4 years. It encompasses a thorough evaluation and management process, tailored to the developmental stage and health needs of this age group.
Guidelines for Proper Use
- Specific Use for Early Childhood Preventive Medicine: Apply 99392 for periodic comprehensive evaluations of established patients in early childhood. This includes a full history, examination, and appropriate counseling or guidance.
- Documentation of Comprehensive Services: Ensure healthcare providers’ documentation reflects the age-appropriate preventive services provided, including any counseling, guidance, or interventions.
- Established Patient Distinction: This code is used for established patients only. Do not use it for initial evaluations or for new patients.
- Inclusion of Preventive Services Components: The code covers various components of preventive care such as risk factor reduction interventions and may include the ordering of laboratory or diagnostic procedures if deemed necessary.
- Compliance with Preventive Medicine Guidelines: Use 99392 in accordance with standard preventive medicine guidelines for early childhood, as well as payer-specific rules.
Common Misuses of 99392
- Using for New Patients: A common misuse is applying 99392 for new patients. This code is specifically for established patients in the age range of 1 through 4 years.
- Application to Older Age Groups: Misuse occurs if 99392 is used for patients outside of the early childhood age range. Different codes exist for other age groups.
- Omission of Comprehensive Elements: This code should not be used for visits that do not include a comprehensive evaluation and management as described.