CPTCodeCalculator
E/MBase2026 Compliant

CPT 99204

2026 Billing Guide

New Patient Visit Level 4

Reimbursement

$168.67

Threshold

45m

2026 Status

Active

What is CPT Code 99204?

CPT 99204 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 moderate level of medical decision making. When using time for code selection, 45-59 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

2.6

Physician Effort

PE (Non-Fac)

2.22

Practice Expense

Malpractice

0.23

Risk Factor

Total RVU

5.05

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 leverage

High ROI when combined with G2211 for longitudinal specialist care.

Administrative Framework

Place of Service

11 (Office)22 (Outpatient Hospital)

Key Modifiers

25Significant E/M same day.
95Telehealth.

Operational Requirements

selection criteria

Moderate MDM OR 45-59 minutes total time.

patient status

New patient.

frequency

Once per encounter.

Compliance Checklist

Medically appropriate history/exam.
Documented MDM level OR 45+ min time.

Audit Defense

mdm moderate

Must meet 2 out of 3 MDM categories: 1) Complexity of problems; 2) Data reviewed; 3) Risk of management.

2026 Update

2026 valuation confirms 99204 as a high-work-effort code. Ensure time spent in 'readying' the chart counts toward total time.

Common Clinical Scenarios

New patient evaluation for multiple chronic conditions requiring moderate complexity oversight.
Patient presenting for initial oncology consultation for a newly diagnosed malignancy.

Target Specialties & Utilization

CardiologyOncologyNephrologyInternal Medicine

Typical Clinical Indications (ICD-10)

I50.9 (Heart Failure)E11.65 (Type 2 Diabetes with hyperglycemia)

Frequently Asked Questions

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CPT Code 99204 for New Patient Visit Level 4 - 2026 Reimbursement & Rules