CPT 99358: Erweiterte präventivmedizinische Beratung

CPT 99358 reports prolonged preventive medicine counseling beyond the usual service (codes 99395–99397). It requires more than 30 minutes of face‑to‑face time spent on counseling/risk‑factor reduction interventions.

Typical Content

• Health risk appraisal
• Lifestyle modification (diet, exercise, smoking cessation, alcohol)
• Medication adherence counseling
• Behavioral change strategies
• Screening test counseling and coordination

Billing Notes

• Used in addition to the preventive medicine service code.
• Time must be documented (start/stop or total minutes).
• Not for problem‑oriented E/M; separate problem‑focused visit may be billed with modifier 25 if distinct.

This code captures the extra time primary care physicians spend on intensive preventive counseling.