99205 Office outpatient new hi 60 minutes
Also known as: complex office visit, comprehensive follow-up, high complexity visit, new patient office visit level 5, high complexity new visit
Office or other outpatient visit for the evaluation and management of an established patient with high medical decision-making complexity and an expected duration of 60 minutes.
Clinical Context
Used for established patient visits involving high complexity medical decision-making, such as management of multiple acute and chronic conditions with complex diagnostic and therapeutic planning.
RVU Breakdown
| Work RVU | 3.50 |
| Practice Expense RVU | 3.23 |
| Malpractice RVU | 0.36 |
| Total RVU | 7.09 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.