99212
E/M EstCMS status: AOffice or other outpatient visit, established patient, straightforward MDM or 10-19 minutes total time.
Work RVU
0.70
Practice RVU
1.02
Malpractice RVU
0.06
Total RVU
1.78
2026 Medicare payment
$59.45
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 99212 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Established patient with one stable minor problem, simple management.
Documentation checklist
- ✓MDM straightforward, OR 10-19 min total time.
- ✓Brief but complete note: HPI, exam relevant to problem, plan.
Common pitfalls
- !Routinely under-coded — many encounters meeting 99213 criteria are billed as 99212.
Common modifiers
2595
Common ICD-10 pairings
I10J06.9
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.