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99202 Office outpatient new sf 15 minutes

Evaluation & Management

Also known as: established office visit, office E/M, established patient visit, new patient office visit level 2, straightforward new visit

Office or other outpatient visit for the evaluation and management of an established patient with a straightforward medical decision-making complexity and an expected duration of 15 minutes.

In Plain Language

Doctor's office visit for an established patient; Brief follow-up appointment

Clinical Context

Used for routine follow-up visits in office settings where the patient is already established with the provider and the medical complexity is straightforward.

RVU Breakdown

Work RVU0.93
Total RVU0.93

Est. Medicare Payment

$31.06

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

E&M codes require documentation of medical decision-making (MDM) complexity or total time spent on the encounter. For 2026, time-based coding includes all physician time on the date of the encounter.

How This Code Compares

With a work RVU of 0.93, this code ranks in the 24th percentile among Evaluation & Management codes — 1.7x below the median (1.54). The highest wRVU in this category is 18.46.

Specialties

Family MedicineInternal MedicinePrimary Care

Frequently Asked Questions

What is CPT code 99202?

CPT 99202 (Office outpatient new sf 15 minutes) is a Evaluation & Management code. Office or other outpatient visit for the evaluation and management of an established patient with a straightforward medical decision-making complexity and an expected duration of 15 minutes.

Who uses CPT code 99202?

CPT 99202 is used by Family Medicine, Internal Medicine, Primary Care. Used for routine follow-up visits in office settings where the patient is already established with the provider and the medical complexity is straightforward.

When is CPT 99202 used?

Used for routine follow-up visits in office settings where the patient is already established with the provider and the medical complexity is straightforward.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.