Preventive · CMS status N
99386
Prev visit new age 40-64
Initial comprehensive preventive medicine evaluation, new patient, age 40-64.
Work RVU
2.33
2026 Medicare pays
$155.65
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 2.33 + Practice 2.18 + Malpractice 0.15 = 4.66 total
Work (your effort)Practice expenseMalpractice
When to use it
Commercial annual physical for a new adult patient age 40-64.
Documentation checklist
- ✓Comprehensive history.
- ✓Multi-system exam.
- ✓Age-appropriate screening (mammography, colorectal, cardiovascular).
- ✓Immunization review.
- ✓Counseling and prevention plan.
Common pitfalls
- !Problem-oriented work performed same day requires a separate E/M with modifier 25.
Common modifiers
2533
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.