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
Billing guidance for 99385 is locked
- When to use it: the exact clinical situations that support billing 99385
- Documentation checklist: the 6 elements your note needs before submitting
- Common pitfalls: the 2 mistakes that get 99385 downcoded or denied
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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.