Question: Michigan Subscriber Answer: A patient is established if he has received face-to-face professional services from your pediatric group in the last three years (since he was born). For a 30-month preventive medicine new patient visit, use 99382 (Initial comprehensive preventive medicine evaluation and management 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, new patient; early childhood [age 1 through 4 years]). Code an established patient preventive medicine service as 99392 (Periodic comprehensive preventive medicine reevaluation and management 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; early childhood [age 1 through 4 years]). Payment will depend on the patient's insurance and covered benefits. Keep two tips in mind when deciding whether to provide 30-month visits: Fortunately, most major payers and Medicaid programs are now paying for the 30-month Bright Futures recommended preventive medicine visit.