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ALL MEDICAL CODES IN CATEGORY Preventive Medicine

2025 HCPCS code G0296

Counseling visit to discuss the need for lung cancer screening using low-dose CT scan (LDCT). This service is for eligibility determination and shared decision-making.

2025 HCPCS code S0610

Annual gynecological examination for a new patient.

2025 CPT code 0403T

Preventive behavior change, intensive program of prevention of diabetes using a standardized diabetes prevention program curriculum, provided to individuals in a group setting, minimum 60 minutes, per day.

2025 CPT code 99396

Preventive medicine reevaluation and management service for an established patient aged 40-64, including history, exam, counseling, and ordering of lab/diagnostic procedures.

2025 CPT code 99403

Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes.

2025 HCPCS code G0013

Individual counseling for pre-exposure prophylaxis (PrEP) to prevent HIV infection.

2025 HCPCS code G0438

This HCPCS code represents the initial annual wellness visit (AWV), including a personalized prevention plan of service (PPPS), for Medicare beneficiaries.

2025 HCPCS code G9643

Anesthesiologist counseling for smoking cessation prior to elective surgery in patients 18 years or older.

2025 HCPCS code G0101

This HCPCS code represents a cervical or vaginal cancer screening that includes a pelvic and clinical breast examination.

2025 HCPCS code G0439

This HCPCS code represents a subsequent annual wellness visit, including a personalized prevention plan of service (PPPS), for Medicare beneficiaries.

2025 CPT code 99386

Initial comprehensive preventive medicine evaluation and management for a new patient aged 40-64 years, including history, exam, counseling, and ordering of labs/diagnostic procedures.

2025 HCPCS code M1173

Patient did not receive at least one Td or Tdap vaccine within nine years prior to the encounter.

2025 HCPCS code Q2038

Influenza virus vaccine, split virus, intramuscular administration for individuals 3 years and older (Fluzone).

2025 HCPCS code M1174

This HCPCS code tracks administration of at least two doses of herpes zoster recombinant vaccine (at least 28 days apart), given on or after the patient's 50th birthday.

2025 CPT code 99393

Periodic comprehensive preventive medicine reevaluation and management for an established patient aged 5-11 years, including age and gender-appropriate history, exam, counseling, and ordering of labs/diagnostic tests.

2025 CPT code 99392

This CPT code represents a comprehensive preventive medicine visit for an established patient aged 1-4 years.It includes a history, exam, counseling, and ordering of labs/procedures.

2025 HCPCS code G0402

Initial Preventive Physical Examination (IPPE), or "Welcome to Medicare" visit, for new Medicare beneficiaries during their first 12 months of Part B coverage.

2025 CPT code 99394

Periodic comprehensive preventive medicine reevaluation and management of an established adolescent patient (age 12 through 17 years).

2025 HCPCS code G0444

Annual depression screening, 5-15 minutes.

2025 HCPCS code G0468

Federally Qualified Health Center (FQHC) visit, including an Initial Preventive Physical Exam (IPPE) or Annual Wellness Visit (AWV) with a typical bundle of Medicare-covered services.

2025 CPT code 0488T

Preventive behavior change, online/electronic structured intensive program for prevention of diabetes using a standardized diabetes prevention program curriculum, provided to an individual, per 30 days.

2025 CPT code 99402

Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes.

2025 CPT code 99387

Initial comprehensive preventive medicine evaluation and management for a new patient aged 65 or older.

2025 CPT code 99411

Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting; approximately 30 minutes.

2025 CPT code 99407

Smoking and tobacco use cessation counseling; intensive, >10 minutes.

2025 CPT code 99404

Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes.

2025 HCPCS code G9964

Patient received at least one well-child visit with a primary care physician (PCP) during the performance period.

2025 CPT code 99385

Initial comprehensive preventive medicine evaluation and management for a new patient aged 18-39 years, including history, exam, counseling, and ordering of lab/diagnostic procedures.

2025 CPT code 4035F

Recommendation for influenza immunization in patients with Chronic Obstructive Pulmonary Disease (COPD) or Inflammatory Bowel Disease (IBD).

2025 HCPCS code G9965

Patient did not receive at least one well-child visit with a PCP during the performance period.

2025 CPT code 99381

Initial comprehensive preventive medicine evaluation and management for a new infant patient (under 1 year).

2025 HCPCS code G9223

Prescription of Pneumocystis jiroveci pneumonia (PJP) prophylaxis within three months of detecting a low CD4+ cell count (below 500 cells/µL or CD4 percentage below 15%).

2025 HCPCS code G8510

Screening for depression with negative findings and no follow-up plan needed.

2025 HCPCS code M1179

Patient aged 60 or older did not receive pneumococcal vaccine before the end of the measurement period.

2025 HCPCS code S0613

Annual gynecological examination; clinical breast examination without pelvic evaluation.

2025 CPT code 99384

Initial comprehensive preventive medicine evaluation and management for a new adolescent patient (ages 12-17).

2025 CPT code 3008F

Body Mass Index (BMI), documented (PV).

2025 HCPCS code G0030

This HCPCS code represents tobacco use screening and cessation intervention (counseling and/or pharmacotherapy).

2025 CPT code 99391

Periodic comprehensive preventive medicine reevaluation and management for an established infant patient (under 1 year), including age and gender-appropriate history, examination, counseling, and ordering of labs/diagnostic procedures.