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NEW OFFICE PATIENTS
 

 

New Office Patients (99202-99205)

These codes are used to bill for new patients being seen in the office.   A new patient is defined as someone who has never been seen by you or a physician in the same specialty in your group OR who has not been seen by you or a physician in the same specialty in your group within the last three years.  There are four levels of care for this type of encounter with the requirements for time and medical decision-making shown below.

E/M Code History Physical Exam MDM Time $*
99202 A medically appropriate history and/or exam SF 15 - 29 $73.97
99203 Low 30 - 44 $113.75
99204 Mod 45 - 59 $169.93
99205 High 60 - 74 $224.36

*Medicare physician fee schedule: 2022

 

 

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