99386 Preventive visit new age 40-64
Also known as: preventive exam middle age, well adult visit 40-64, preventive care middle aged
Initial comprehensive preventive medicine evaluation and management of an individual including age and gender appropriate history, examination, counseling, and risk factor reduction interventions, new patient; age 40 through 64 years.
In Plain Language
Middle age health check-up; Adult preventive visit
Clinical Context
Used for comprehensive preventive care visit with a middle-aged adult age 40-64 years, including screening for chronic disease risk factors and age-appropriate preventive interventions.
RVU Breakdown
| Work RVU | 2.33 |
| Total RVU | 2.33 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
E&M codes require documentation of medical decision-making (MDM) complexity or total time spent on the encounter. For 2026, time-based coding includes all physician time on the date of the encounter.
How This Code Compares
With a work RVU of 2.33, this code ranks in the 72nd percentile among Evaluation & Management codes — 1.5x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99386?
CPT 99386 (Preventive visit new age 40-64) is a Evaluation & Management code. Initial comprehensive preventive medicine evaluation and management of an individual including age and gender appropriate history, examination, counseling, and risk factor reduction interventions, new patient; age 40 through 64 years.
Who uses CPT code 99386?
CPT 99386 is used by Family Medicine, Internal Medicine. Used for comprehensive preventive care visit with a middle-aged adult age 40-64 years, including screening for chronic disease risk factors and age-appropriate preventive interventions.
When is CPT 99386 used?
Used for comprehensive preventive care visit with a middle-aged adult age 40-64 years, including screening for chronic disease risk factors and age-appropriate preventive interventions.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.