CPT® Code 99384: Initial Comprehensive Preventive Visit, New Patient (Age 12–17 Years)

CPT® code 99384 is used to report an initial comprehensive preventive medicine evaluation and management (E/M) service provided to a new patient aged 12–17 years. This code reflects a preventive (not problem-focused) visit and includes a complete age-appropriate history, physical examination, and anticipatory guidance or counseling.

What is CPT 99384?

CPT 99384 is intended for adolescents (ages 12 through 17) receiving their first preventive visit with a provider or practice. This visit is designed to screen for developmental, emotional, behavioral, and physical health concerns during adolescence, and to promote wellness through personalized guidance.

This service typically includes:

• A full medical, family, and social history
• Physical and developmental assessment
• Screening for mental health, substance use, and sexual health risks
• Counseling on health promotion and lifestyle factors such as nutrition, exercise, peer relationships, and safety
• Review and/or administration of age-appropriate immunizations

When to report CPT code 99384

You may report 99384 when:

• The patient is between 12 and 17 years old
• The visit is for preventive care only, not a specific complaint or condition
• The patient is new to the provider or group practice
• The encounter includes a comprehensive history, physical exam, and counseling

Billing tips and additional considerations

• CPT 99384 should not be reported with problem-oriented E/M codes (e.g., 99203) unless a significant and separately identifiable issue is addressed. In those cases, append modifier -25 to the problem-based code.
• Include documentation of anticipatory guidance and any screenings performed (e.g., PHQ-9, CRAFFT, etc.) to support preventive intent.
• Coverage for preventive services like 99384 is typically mandated under the Affordable Care Act, but frequency and documentation requirements may vary by payer.

Support Adolescent Wellness Visits with OptiMantra

OptiMantra provides a robust, flexible EHR and practice management platform that makes delivering and documenting adolescent preventive visits like CPT 99384 more efficient and comprehensive. With OptiMantra, providers can:

• Use customizable age-based templates for adolescent well visits
• Integrate screening tools for depression, substance use, and sexual health
• Track immunizations and health maintenance tasks automatically
• Generate patient education materials and secure portal messages for teens and parents
• Bill accurately with built-in CPT and ICD code suggestions and payer-specific alerts

From scheduling and documentation to billing and follow-up, OptiMantra helps pediatric, family, and adolescent-focused practices streamline preventive care workflows—so providers can focus more on engaging and educating patients during these formative years.

Try OptiMantra for free here!