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Frequency Limitation Removed for Infant Preventive Medicine Code

May 30, 2018

Effective for dates of service on or after July 1, 2017, CPT-4 code 99391 (periodic comprehensive preventive medicine reevaluation and managements of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant [age younger than 1 year]) no longer has a 60-day frequency limitation.

An Erroneous Payment Correction (EPC) will be implemented to reprocess affected claims. No action is required of providers.