CMS Transmittal R13804DEMO: Update to GUIDE Model Appendices for July 2026
Multi-specialty
CPT procedure code
99396 — Preventive visit, established patient, age 40-64
PreventiveCPT
Code definition
Code
99396
Code system
CPT (Current Procedural Terminology)
Description
Preventive visit, established patient, age 40-64
Category
Preventive
Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.
Latest reimbursement alerts
No alerts currently reference 99396 directly. Here are the latest policy changes across all codes.
High
CMS Physician Fee Schedule
Physician Fee Schedule
CMS MAC Archives
General
Medicare Coverage Database - New Items
General
CMS Physician Fee Schedule
Physician Fee Schedule
CMS MAC Archives
General
Related CPT codes (993xx)
99304E/MNursing facility initial care, low complexity
99305E/MNursing facility initial care, moderate complexity
99306E/MNursing facility initial care, high complexity
99385PreventivePreventive visit, new patient, age 18-39
99386PreventivePreventive visit, new patient, age 40-64
99387PreventivePreventive visit, new patient, age 65+
99395PreventivePreventive visit, established patient, age 18-39
99397PreventivePreventive visit, established patient, age 65+
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