CPT code 99387: Preventive visit, new patient, age 65+2026 Medicare rate & RVUs

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 99387 covers

99387 is a comprehensive preventive medicine evaluation for a new patient age 65 or older. A physician or other qualified health professional takes an age- and sex-appropriate history, performs an examination, and provides preventive counseling and risk-reduction planning. The visit addresses preventive care rather than evaluation of a specific complaint. Under CPT’s new-patient definition, the patient has not received a professional service from the same specialty or subspecialty in the same group within the prior three years.

Medicare assigns 99387 status N, so Medicare does not cover this service. It is a preventive medicine visit, not the Medicare annual wellness visit; initial and subsequent annual wellness visits are reported with G0438 and G0439, respectively.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 99387 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

99387 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 99387 rate is calculated

Each of 99387’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 99387

99387 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

99387 compared with similar codes

How to choose

99386Preventive visitNew patient, age 40–64

99386 is the new-patient preventive visit for ages 40 through 64. 99387 applies to patients age 65 or older.

99397Preventive examEstablished patient, age 65+

99397 is for an established patient age 65 or older. 99387 is the corresponding new-patient code.

G0438Annual wellness visitInitial visit, first AWV

G0438 identifies an initial Medicare annual wellness visit, not a comprehensive preventive medicine visit. 99387 describes the preventive medicine visit for a new patient age 65 or older.

G0439Annual wellness visitSubsequent visit

G0439 identifies a subsequent Medicare annual wellness visit. 99387 describes a preventive medicine visit for a new patient age 65 or older.

Codes related to 99387

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates