99391 Insurance Policy Changes

CPT 99391, in plain terms, covers A preventive health checkup for a baby patient who is being seen by the doctor for the first time. CPT 99391 is referenced in 28 tracked payer policy changes from Healthfirst, Harvard Pilgrim Health Care, and 16 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 99391 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 99391 on AAPC