99202
E/M NewCMS status: AOffice or other outpatient visit, new patient, straightforward MDM or 15-29 minutes total time.
Work RVU
0.93
Practice RVU
1.25
Malpractice RVU
0.07
Total RVU
2.25
2026 Medicare payment
$75.15
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 99202 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Straightforward new patient: one stable, minor problem with simple management.
Documentation checklist
- ✓MDM straightforward (minimal problems, minimal/no data, minimal risk), OR 15-29 min total time on date of encounter.
- ✓If time-based: log all qualifying activities (chart review, ordering, documentation, counseling).
- ✓Confirm the patient is truly new (no encounter with you or same-specialty practice partner in last 3 years).
Common pitfalls
- !Up-coding to 99203/99204 without supporting MDM or time.
- !Billing as new when a partner saw the patient in the past 3 years.
Common modifiers
2595
Common ICD-10 pairings
Z00.00R51.9
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.