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Preventive Exam, Established Patient, Age 40-64

CPT 99396

When it’s used
Reported for a patient's annual well-visit exam in this age range, separate from any problem-focused visit.

No national payment amount

Status N is not separately payable under the PFS.

Non-covered service. Not paid by Medicare.

Common questions

Why is there no payment amount for 99396?

Its status indicator is N (non-covered). Non-covered service. Not paid by Medicare. The blank is deliberate: the amount is unknown or paid another way, not zero.

When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October). Each release is versioned here, so past quarters stay lookupable — see what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Saw this code on your bill?

What is a 99396 visit in patient-friendly terms?

In plain terms: An annual well-visit preventive exam for an established patient age 40 through 64, including an age-appropriate history, exam, and risk-factor counseling separate from a problem-focused office visit. You'll typically see CPT 99396 on a bill or explanation of benefits (EOB) when a clinician performs or bills for this service.

How this amount is computed

amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000.

Release Q3 2026

Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A value of blank means CMS publishes no national number for that part — which is not the same as zero.

Rate history by release

National non-facility amount for 99396 across quarterly releases. Up 6.6% since Q1 2025 · high $128.93 in Q1 2026

$129 $117 $105 $93 $81 Q1 2025 · $120.98 Q2 2025 · $120.98 (0.0%) Q3 2025 · $120.98 (0.0%) Q4 2025 · $120.98 (0.0%) Q1 2026 · $128.93 (+6.6%) Q2 2026 · $128.93 (0.0%) Q3 2026 · $128.93 (0.0%) Q1 2025 Q2 2025 Q3 2025 Q1 2026 Q2 2026 Q3 2026
Non-facility Facility
Release Status Non-facility Facility
Q3 2026 Jun 30, 2026 N $128.93 (0.0%) $81.16 (0.0%)
Q1 2026 Dec 29, 2025 N $128.93 (+6.6%) $81.16 (-9.7%)

Billing together (NCCI edits)

NCCI Q3 2026

Per CMS's National Correct Coding Initiative. Hover a code for when it's used.

Never billable with 99396 on the same date of service

0395T 0469T 36591 36592 80503 80504 80505 80506 90791 - Psychiatric Diagnostic Evaluation 90792 90832 - Individual Psychotherapy, 30 Minutes 90833 90834 - Psychotherapy, 45 Minutes 90836 90837 - Psychotherapy, 60 Minutes 90838 93793 94002 94003 94004 94660 96523 99091 99446 99447 +5 more

Billable with 99396 only with modifier 59, XE, XS, XP, or XU

Source & method

Computed from the CMS Medicare Physician Fee Schedule Q3 2026 release (schedule pfs, effective July 2026). National amounts apply a GPCI of 1.000 and exclude sequestration. Payability follows the status indicator, not RVU values — blank RVUs are never treated as zero. Releases are immutable; a rate retrieved for a past quarter always reflects that release.

Description written from primary sources: CMS Medicare Physician Fee Schedule Relative Value Files. Not derived from AMA CPT descriptor text.

Physician relative value file (Q3 2026) · rvu26c-updated-06-30-2026.zip (PPRRVU2026_Jul_nonQPP.csv row 13,025)

Conversion factor $33.4009 read from the same file, row 11, column 26.

Use the (i) buttons next to each amount above for the exact row, columns, and math.