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E/MBase2026 Compliant

CPT 99203

2026 Billing Guide

New Patient Visit Level 3

Reimbursement

$112.22

Threshold

30m

2026 Status

Active

What is CPT Code 99203?

CPT 99203 is defined as: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter.

This code is primarily used for E/M services. It falls under the category of Evaluation & Management and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.

2026 RVU Components

Relative Value Units (Non-Facility)

Standard Formula Applied

Work RVU

1.6

Physician Effort

PE (Non-Fac)

1.61

Practice Expense

Malpractice

0.15

Risk Factor

Total RVU

3.36

Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor

2026 CMS Policy Intelligence

efficiency shield

Protected from the -2.5% productivity adjustment (E/M service).

g2211 compatibility

Highly compatible with G2211 for longitudinal management.

Administrative Framework

Place of Service

11 (Office)22 (Outpatient Hospital)

Key Modifiers

25Significant E/M same day.
95Telehealth.

Operational Requirements

selection criteria

Low MDM OR 30-44 minutes total time.

patient status

New patient.

frequency

Once per encounter.

Compliance Checklist

Medically appropriate history/exam.
Documented MDM level OR 30+ min time.

Audit Defense

mdm clarification

Ensure documentation supports 'Low' complexity (e.g., 2+ minor problems or 1 stable chronic illness).

2026 Update

Medicare 2026 valuation maintains 99203 as a staple for initial primary care intake.

Common Clinical Scenarios

Patient presenting for initial evaluation of a single stable chronic condition.
Evaluation of an acute uncomplicated illness in a new patient.

Target Specialties & Utilization

Primary CareDermatologyENT

Typical Clinical Indications (ICD-10)

I10 (Hypertension)J01.90 (Acute sinusitis)

Frequently Asked Questions

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CPT Code 99203 for New Patient Visit Level 3 - 2026 Reimbursement & Rules