CPT 99397

Periodic Preventive Med Est Patient 65yrs& Older

CPT 99397 is a evaluation and management code that the 2026 Medicare Physician Fee Schedule does not price. Commercial payers may still reimburse it.

Medicare rate by state

Medicare rates for this code are not published in the 2026 physician fee schedule.

Related Evaluation and Management

99396Periodic Preventive Med Est Patient 40-64yrs99395Periodic Preventive Med Est Patient 18-39 Yrs99394Periodic Preventive Med Est Patient 12-17yrs99393Periodic Preventive Med Est Patient 5-11yrs99392Periodic Preventive Med Est Patient 1-4yrs99391Periodic Preventive Med Established Patient <1y99387Initial Preventive Medicine New Patient 65yrs&>99386Initial Preventive Medicine New Patient 40-64yrs

Billed by 4 specialties

Clinic/CenterEvaluationFamily MedicineInternal Medicine

Commercial rates for 99397

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates