CPTCodeCalculator
E/MBase2026 Compliant

CPT 99205

2026 Billing Guide

New Patient Visit Level 5

Reimbursement

$223.78

Threshold

60m

2026 Status

Active

What is CPT Code 99205?

CPT 99205 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 high level of medical decision making. When using time for code selection, 60-74 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

3.5

Physician Effort

PE (Non-Fac)

2.89

Practice Expense

Malpractice

0.31

Risk Factor

Total RVU

6.7

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).

valuation premium

99205 provides the highest E/M outpatient reimbursement ($220.45) for cognitive cognitive work.

Administrative Framework

Place of Service

11 (Office)22 (Outpatient Hospital)

Key Modifiers

25Significant E/M same day.
95Telehealth.

Operational Requirements

selection criteria

High MDM OR 60-74 minutes total time.

patient status

New patient.

frequency

Once per encounter.

Compliance Checklist

Medically appropriate history/exam.
Documented High MDM OR 60+ min time.

Audit Defense

mdm high

Requires documented evidence of extensive data review and high risk of morbidity/mortality from the illness or the treatment.

2026 Update

Prolonged services (G2212) can be added ONLY if time exceeds 74 minutes in the outpatient setting.

Common Clinical Scenarios

Evaluation of a new patient with multiple unstable chronic conditions or an undiagnosed serious illness requiring high-level MDM.
Comprehensive intake for an elderly patient with end-stage heart and lung disease plus cognitive decline.

Target Specialties & Utilization

NeurologyOncologyRheumatologyGeriatrics

Typical Clinical Indications (ICD-10)

C34.90 (Advanced Lung Cancer)G35 (Multiple Sclerosis)

Frequently Asked Questions

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