CPT 99202 describes an outpatient visit with a new patient for evaluation and management with straightforward medical decision-making that lasts 15-29 minutes on a single date and includes face-to-face and non-face-to-face activities.
What Is CPT Code 99202?
CPT code 99202 describes an office or outpatient visit with a new patient for evaluation and management.
The visit requires a medically appropriate history and/or examination and involves straightforward medical decision-making.
The total time spent on the date of the encounter is at least 15-29 minutes.
The level of medical decision-making may be evaluated based on factors including the number and complexity of problems addressed, the amount and complexity of data to review and analyze, and the potential risks associated with patient management.
The CPT book describes CPT code 99202 as: “Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of the total time is spent on the date of the encounter.”
A provider sees a new patient in an outpatient setting (such as their office) for an evaluation and management (E/M) service.
The visit takes place on a single date and involves straightforward medical decision-making, or the provider spends 15-29 minutes on the encounter.
The total time includes face-to-face and non-face-to-face activities, such as reviewing tests, performing the exam or evaluation, counseling the patient, ordering tests, communicating with other healthcare providers, documenting the encounter, interpreting and communicating results, and coordinating care.
The level of medical decision-making involved in the visit may be determined by the number and complexity of problems addressed, the amount and complexity of data to review and analyze, and the risk of complications related to patient management.