CPT Code 99203: E/M Office Visit, New Patient, Low-to-Moderate Complexity
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
CPT 99203 reports an E/M office visit for a new patient with low level medical decision making, or 30 to 44 minutes total time on the date of service.
When to use CPT 99203
Use for a new patient visit with low complexity MDM or 30 to 44 minutes total time.
Documentation requirements
- MDM or total time
- History and exam as medically appropriate
Reimbursement
$110 to $140
National averages only. Rates vary by locality, payer, and fee schedule. Verify with your contracted payers.
Common modifiers
- -25
Common denial reasons for CPT 99203
- Documentation does not support level
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