99386
PreventiveCMS status: NInitial comprehensive preventive medicine evaluation, new patient, age 40-64.
Work RVU
2.33
Practice RVU
2.18
Malpractice RVU
0.15
Total RVU
4.66
2026 Medicare payment
$155.65
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 99386 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →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.