99203
E/M NewCMS status: AOffice or other outpatient visit, new patient, low-level MDM or 30-44 minutes total time.
Work RVU
1.60
Practice RVU
1.76
Malpractice RVU
0.16
Total RVU
3.52
2026 Medicare payment
$117.57
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 99203 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
New patient with one acute uncomplicated problem, OR two minor stable problems, with limited data and low risk.
Documentation checklist
- ✓MDM low complexity, OR 30-44 min total time.
- ✓Document problem list, limited data reviewed, low-risk management.
- ✓Patient must be truly new (3-year rule).
Common pitfalls
- !Time-based new patient visits often miscoded — verify minimum threshold met.
- !Don't forget G2211 if you're the continuity provider.
Common modifiers
2595
Common ICD-10 pairings
Z00.00J06.9
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.