Preventive · CMS status N
99396
Prev visit est age 40-64
Periodic comprehensive preventive medicine reevaluation, established patient, age 40-64.
Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.
Work RVU
1.90
National non-QP estimate
See policy
National GPCI · non-facility · CF $33.4009
No national non-facility estimate is shown for this status or setting. This does not determine other payer coverage.
RVU anatomyWork 1.90 + Practice 1.84 + Malpractice 0.12 = 3.86 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 99396 is locked
- When to use it: the exact clinical situations that support billing 99396
- Documentation checklist: the 4 elements your note needs before submitting
- Common pitfalls: the 1 mistakes that get 99396 downcoded or denied
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Common modifiers
2533
Common ICD-10 pairings
Z00.00
Related codes
These include alternative services and possible add-ons. Listing codes together does not establish that they can be billed together; check the applicable edits and payer policy.
See what 99396 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.