99397 Per pm reeval established pat 65+ yr
Also known as: preventive recheck senior, well elderly revisit, preventive follow-up elderly
Periodic comprehensive preventive medicine re-evaluation and management of an individual including age and gender appropriate history, examination, counseling, and risk factor reduction interventions, established patient; age 65 years and older.
In Plain Language
Senior check-up follow-up; Elderly preventive follow-up
Clinical Context
Used for periodic preventive care revisit with an elderly patient age 65 and older, including continued assessment of functional status and age-appropriate preventive interventions.
RVU Breakdown
| Work RVU | 2.00 |
| Total RVU | 2.00 |
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 2.00, this code ranks in the 68th percentile among Evaluation & Management codes — 1.3x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99397?
CPT 99397 (Per pm reeval established pat 65+ yr) is a Evaluation & Management code. Periodic comprehensive preventive medicine re-evaluation and management of an individual including age and gender appropriate history, examination, counseling, and risk factor reduction interventions, established patient; age 65 years and older.
Who uses CPT code 99397?
CPT 99397 is used by Family Medicine, Internal Medicine, Geriatrics. Used for periodic preventive care revisit with an elderly patient age 65 and older, including continued assessment of functional status and age-appropriate preventive interventions.
When is CPT 99397 used?
Used for periodic preventive care revisit with an elderly patient age 65 and older, including continued assessment of functional status and age-appropriate preventive interventions.
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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.