CPT code 99387: Preventive visit, new patient, age 65+2026 Medicare rate & RVUs in Missouri
A comprehensive preventive medicine evaluation for a new patient age 65 or older, including an age-appropriate history, examination, and preventive counseling.
CMS doesn’t publish an office rate for 99387 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
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.
How the rate is built · 99387
RVUs × geographic indexes × conversion factor
Work2.50
2.50 RVUs× 1.000 GPCI
Practice expense2.39
2.39 RVUs× 1.000 GPCI
Malpractice0.16
0.16 RVUs× 1.000 GPCI
Adjusted RVUs
5.0500
Conversion factor
$33.4009
Medicare rate
$168.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
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.
Place of service · 99387
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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99387 isn’t priced in this setting.
99387 compared with similar codes
Compare codes · National
5 codes, side by side
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.
99387 billing questions
What makes the patient new for 99387?
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.
When is 99387 used instead of 99386?
Use 99387 for a new-patient preventive visit when the patient is age 65 or older. Code 99386 is for a new patient age 40 through 64.
How does 99387 differ from 99397?
Both describe preventive medicine visits for patients age 65 or older. 99387 is for a new patient; 99397 is for an established patient.
Does Medicare cover 99387?
No. Medicare assigns 99387 status N, meaning Medicare does not cover this service.
Is 99387 the Medicare annual wellness visit?
No. The initial and subsequent Medicare annual wellness visits are reported with G0438 and G0439, respectively; 99387 describes a preventive medicine visit.
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
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