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E/MBase2026 Compliant

CPT 99214

2026 Billing Guide

Established Patient Visit Level 4

Reimbursement

$127.92

Threshold

30m

2026 Status

Active

What is CPT Code 99214?

CPT 99214 is defined as: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 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

1.92

Physician Effort

PE (Non-Fac)

1.78

Practice Expense

Malpractice

0.13

Risk Factor

Total RVU

3.83

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 standard

99214 + G2211 is the most frequent billing combination for longitudinal specialist care in 2026.

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 30-39 minutes total time.

patient status

Established patient.

frequency

Once per encounter.

Compliance Checklist

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

Audit Defense

mdm moderate

Ensure documentation reflects at least 1 chronic illness with exacerbation OR 2+ stable chronic illnesses OR 1 new problem with uncertain prognosis.

2026 Update

2026 valuation continues to favor 99214 as a core revenue driver for both Primary and Specialty care.

Common Clinical Scenarios

Established patient with 1 or more chronic illnesses with mild exacerbation or progression.
Management of multiple stable chronic conditions requiring moderate MDM (e.g., adjustments to medication, and reviewing labs).

Target Specialties & Utilization

Internal MedicineCardiologyNeurologyRheumatology

Typical Clinical Indications (ICD-10)

I50.9 (Heart Failure)E11.65 (Diabetes with complications)M17.1 (Osteoarthritis)

Frequently Asked Questions

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CPT Code 99214 for Established Patient Visit Level 4 - 2026 Reimbursement & Rules