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How many minutes is a 99204?

Author

Daniel Hoffman

Published Mar 25, 2026

How many minutes is a 99204?

Typical times for new patient office visits

CPT codeTypical time
9920220 minutes
9920330 minutes
9920445 minutes
9920560 minutes

What is the reimbursement for 99204?

For new patient visits most doctors will bill 99203 (low complexity) or 99204 (moderate complexity) These codes pay $122.69 and $184.52 respectively. So, if you see a new doctor and your medical case is moderately complex you could expect to pay almost $37 for that visit.

Is 99204 An E M code?

Beginning with CPT 2021, except for 99211, time alone may be used to select the appropriate code level for the office or other outpatient E/M services codes (99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215).

How many RVUs do I need for 99204?

How the E/M code RVU increases could affect family physicians’ pay

Code2020 work RVUs2021 work RVUs
992020.930.93
992031.421.6
992042.432.6
992053.173.5

When should I use 99205?

99205 can be reported when the service provided requires a documented, medically necessary, comprehensive history, comprehensive exam and medical decision making of high complexity on the basis of the presenting problem for that particular date of service and the management options that are available to the physician …

What level is a 99204?

CPT® 99204 represents the mid-high (level 4) office or other outpatient new patient visit and is part of the Healthcare Common Procedure Coding System (HCPCS). After you’re done studying this lecture, make sure to also review the lecture on mid level office visits (CPT® 99203).

How much is a 99203 visit?

CPT CODE 2016 Fee 2017 FEE

99201$35.96 $43.6
99202$61.32 $74.5
99203$89.52 $108.3
99204$135.38 $165.7
99205$169.54 $208.2

How do RVU’s work?

How RVUs Work. RVUs do not represent monetary value. Instead, they signify the relative amount of physician work, resources, and expertise required to service patients. The actual dollar amount of payment for those services only comes when a conversion factor (CF) — dollar per RVU — is applied to the total RVUs accrued …