Preventive · CMS status N
99395
Prev visit est age 18-39
Periodic comprehensive preventive medicine reevaluation, established patient, age 18-39.
Work RVU
1.75
2026 Medicare pays
$121.58
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 1.75 + Practice 1.78 + Malpractice 0.11 = 3.64 total
Work (your effort)Practice expenseMalpractice
When to use it
Commercial annual physical for an established adult patient age 18-39.
Documentation checklist
- ✓Interval history update.
- ✓Multi-system exam.
- ✓Age-appropriate screening review.
- ✓Immunizations updated.
- ✓Counseling and prevention plan.
Common pitfalls
- !Use 99213/99214 with modifier 25 if a separate problem visit is also done.
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.