Preventive · CMS status N
99396
Prev visit est age 40-64
Periodic comprehensive preventive medicine reevaluation, established patient, age 40-64.
Work RVU
1.90
2026 Medicare pays
$128.93
National GPCI · non-facility · CF $33.4009
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
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.