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
Billing guidance for 99395 is locked
- When to use it: the exact clinical situations that support billing 99395
- Documentation checklist: the 5 elements your note needs before submitting
- Common pitfalls: the 1 mistakes that get 99395 downcoded or denied
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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.