99396
PreventiveCMS status: NPeriodic comprehensive preventive medicine reevaluation, established patient, age 40-64.
Work RVU
1.90
Practice RVU
1.84
Malpractice RVU
0.12
Total RVU
3.86
2026 Medicare payment
$128.93
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 99396 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 an established adult patient age 40-64.
Documentation checklist
- ✓Interval history.
- ✓Multi-system exam.
- ✓Age-appropriate screening (mammography, colorectal, cardiovascular risk).
- ✓Lifestyle counseling and prevention plan.
Common pitfalls
- !Cannot also bill 99214 for the same problem — needs modifier 25 with a separately identifiable issue.
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.