What is CPT Code 99385?
CPT Code
99385 is a procedural code in the
Current Procedural Terminology (CPT) system that is used for billing
preventive medicine services. Specifically, it is used for the comprehensive preventive medicine evaluation and management of a new patient aged 18-39 years. Though this code is not directly applicable to pediatric patients, understanding it is important for practitioners who transition patients from pediatric to adult care.
Why is CPT Code 99385 Relevant in Pediatrics?
As children grow into adolescents and young adults, their healthcare needs evolve. Pediatricians often manage the early stages of this transition. Knowing about CPT Code 99385 helps pediatricians facilitate a smooth transition to adult healthcare providers and ensures that young adults receive appropriate
preventive care services.
What Services are Included Under CPT Code 99385?
CPT Code 99385 covers a range of services that are essential for preventive healthcare. These include:How Does the Transition from Pediatric to Adult Care Work?
Transitioning from pediatric to adult care is a gradual process that usually starts in adolescence. Pediatricians often begin by educating both the patient and their family about the importance of preventive care in adulthood. A well-coordinated transition plan may involve: Creating a transition timeline to shift care responsibilities
Providing a summary of the patient’s medical history and current health status
Referring the patient to an adult healthcare provider who accepts CPT Code 99385
Ensuring the patient understands the importance of regular check-ups and preventive care
Common Challenges in the Transition Process
Several challenges can arise during the transition from pediatric to adult care: Communication gaps between pediatric and adult healthcare providers
Patient and family reluctance to change providers
Lack of awareness about the importance of preventive care in young adulthood
Inconsistent follow-up on recommended
screenings and vaccinations Addressing these challenges requires a collaborative effort from all parties involved.
How Can Pediatricians Prepare Patients for Adult Care?
Pediatricians play a crucial role in preparing their patients for adult care by: Educating them about the importance of
self-care and managing their own health
Encouraging regular use of healthcare services through age-appropriate discussions
Providing resources and referrals to adult healthcare providers
Utilizing tools such as
transition readiness assessments to identify areas needing attention
Conclusion
While CPT Code 99385 is primarily used for young adults aged 18-39, its relevance to pediatrics lies in the smooth transition from pediatric to adult care. Pediatricians who understand and facilitate this process help ensure that their patients continue to receive comprehensive and preventive healthcare as they grow into adulthood.
