99397
PreventiveCMS status: NPeriodic comprehensive preventive medicine reevaluation, established patient, age 65+.
Work RVU
2.00
Practice RVU
2.04
Malpractice RVU
0.12
Total RVU
4.16
2026 Medicare payment
$138.95
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 99397 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 patient age 65+. Medicare beneficiaries: use G0439 instead.
Documentation checklist
- ✓Interval history, exam, screening review.
- ✓Functional, cognitive, falls risk topics.
- ✓Immunization and prevention plan.
Common pitfalls
- !Medicare won't pay 99397 — use G0439.
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.