99395 Insurance Policy Changes

CPT 99395, in plain terms, covers A preventive health checkup visit for an established patient who is between 18 and 39 years old. CPT 99395 is referenced in 30 tracked payer policy changes from Harvard Pilgrim Health Care, New Mexico Medicaid, and 15 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 99395 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 99395 on AAPC