Preventive · CMS status N
99397
Per pm reeval est pat 65+ yr
Periodic comprehensive preventive medicine reevaluation, established patient, age 65+.
Work RVU
2.00
2026 Medicare pays
$138.95
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 2.00 + Practice 2.04 + Malpractice 0.12 = 4.16 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 99397 is locked
- When to use it: the exact clinical situations that support billing 99397
- Documentation checklist: the 3 elements your note needs before submitting
- Common pitfalls: the 1 mistakes that get 99397 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.