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99205 New patient office visit, high complexity CPT · BillingBrief summary
The highest-level new patient office or outpatient visit, for high-complexity medical decision making.
What to know Time threshold: 60 minutes or more of total practitioner time on the date of the visit. Prolonged time beyond this is reported with 99417 (or G2212 for Medicare). From the source This is BillingBrief’s own explanation, not the official CPT descriptor. For the official code set, see the American Medical Association .
Code set CPT Category Office visits (E/M) Educational reference only. Not medical, legal, or billing advice. Always check the current official code set and payer policy before you bill. About BillingBrief and our sources .
