99203 Office outpatient new low 30 minutes
Also known as: office visit low complexity, established patient follow-up, new patient office visit level 3, low complexity new visit
Office or other outpatient visit for the evaluation and management of an established patient with low medical decision-making complexity and an expected duration of 30 minutes.
In Plain Language
Doctor's office visit with some complexity; Regular medical appointment
Clinical Context
Used for office visits involving established patients requiring low-complexity medical decision-making such as management of stable chronic conditions or minor acute problems.
RVU Breakdown
| Work RVU | 1.60 |
| Total RVU | 1.60 |
Est. Medicare Payment
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 1.60, this code ranks in the 53rd percentile among Evaluation & Management codes — 1.0x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99203?
CPT 99203 (Office outpatient new low 30 minutes) is a Evaluation & Management code. Office or other outpatient visit for the evaluation and management of an established patient with low medical decision-making complexity and an expected duration of 30 minutes.
Who uses CPT code 99203?
CPT 99203 is used by Family Medicine, Internal Medicine, Primary Care. Used for office visits involving established patients requiring low-complexity medical decision-making such as management of stable chronic conditions or minor acute problems.
When is CPT 99203 used?
Used for office visits involving established patients requiring low-complexity medical decision-making such as management of stable chronic conditions or minor acute problems.
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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.