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
When to use it
Commercial annual physical for an established patient age 65+.
Full guidance
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.