Preventive · CMS status N
99385
Prev visit new age 18-39
Initial comprehensive preventive medicine evaluation, new patient, age 18-39.
Work RVU
1.92
2026 Medicare pays
$134.61
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 1.92 + Practice 1.99 + Malpractice 0.12 = 4.03 total
Work (your effort)Practice expenseMalpractice
When to use it
Commercial annual physical for a new adult patient age 18-39.
Full guidance
Not for Medicare (use G0438 instead).
Documentation checklist
- ✓Comprehensive history including past medical, family, social, sexual.
- ✓Comprehensive multi-system exam appropriate to age/gender.
- ✓Age- and risk-appropriate screening (cancer screening, STIs, mental health).
- ✓Immunization review.
- ✓Counseling and anticipatory guidance.
- ✓Personalized prevention plan.
Common pitfalls
- !Mixing problem-oriented care into the preventive note without a separate problem-oriented E/M + modifier 25.
- !Billing for Medicare beneficiaries — not covered.
Common modifiers
25 (on the problem-oriented E/M)33
Common ICD-10 pairings
Z00.00
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.