CPT 99395 RVU Value — Prev visit est age 18-39
2026 CMS Physician Fee Schedule · 1.75 Work RVUs · 3.64 Total RVUs
Work RVU
Physician time and effort
Practice Expense RVU
Equipment and overhead costs
Malpractice RVU
Professional liability costs
Total RVU
Sum of all components
Evaluation & Management
Patient encounters and consultations
Common specialties: Primary Care, Hospitalist, Internal Medicine
About CPT 99395
How many wRVUs is 99395 in 2026?
CPT code 99395 has 1.75 work RVUs in 2026 according to the CMS Physician Fee Schedule. The total RVU value including all components is 3.64 RVUs.
What type of procedure is 99395?
99395 is classified as E/M: Prev visit est age 18-39. This procedure is commonly used by: Primary Care, Hospitalist, Internal Medicine.
What is the RVU breakdown for CPT 99395?
CPT 99395 has three RVU components in 2026: Work RVU 1.75 (physician effort), Practice Expense RVU 1.78 (overhead costs), and Malpractice RVU 0.11 (liability). The combined Total RVU is 3.64.
How do I calculate total compensation for 99395?
To calculate compensation: Work RVUs (1.75) x Your dollar-per-wRVU rate x Geographic Practice Cost Index (GPCI). For example, at $55/wRVU, one 99395 generates approximately $96 in physician compensation. Use the calculator below to estimate values for multiple quantities.
Clinical Usage Guidelines
Documentation Requirements
Important: Proper documentation is required to support billing for 99395. Ensure your documentation meets CMS guidelines and local carrier policies.
Common Modifiers
Calculate RVUs for 99395
wRVU Calculator
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