CPT 99202

Understanding CPT 99202: Your New Patient Visit Billing

CPT code 99202 is used when you visit a doctor for the first time for a straightforward medical concern. This code covers brief new patient appointments that don't require complex medical decision-making.

What Medicare Pays vs. What You Might Be Charged
Category Amount
Medicare Allowed Rate What Medicare approves for this service $72.26
Typical Billed Amount What providers commonly charge $110 – $220
Potential Markup How much more you might pay vs. Medicare rate 204% above Medicare
Why the difference? Providers set their own prices. Without insurance, you may be billed the full amount. Even with insurance, your co-pay is often based on the provider's charge — not the Medicare rate.

What CPT 99202 Means for Your Visit

When you see a doctor for the first time, they use CPT code 99202 to bill for visits involving straightforward medical issues. This might include routine check-ups, simple concerns like minor skin conditions, or follow-ups for stable chronic conditions that don't require extensive evaluation.

During a 99202 visit, your doctor will typically spend 15-29 minutes with you, taking your medical history, performing a basic examination, and making straightforward medical decisions about your care. These visits are less complex than those requiring extensive testing, multiple treatment options, or complicated diagnoses.

This code is specifically for new patients, meaning you haven't seen this particular doctor (or anyone in their practice group) within the past three years. If you're an established patient, your doctor would use a different billing code for similar services.

What to Expect on Your Medical Bill

When you receive your medical bill or explanation of benefits, you'll see CPT code 99202 listed for your new patient visit. The typical charge for this service ranges from $110 to $220, depending on your healthcare provider and geographic location.

If you have Medicare, the standard reimbursement rate for this code is $72.26, though you may see different amounts based on your specific coverage and deductibles. Private insurance companies negotiate their own rates with healthcare providers, so your actual out-of-pocket cost will depend on your insurance plan's coverage and whether you've met your deductible.

You should expect to see this code billed only once per visit, and it should correspond to a new patient appointment you actually attended. The date of service on your bill should match when you had your appointment.

How to Verify Your Bill Is Correct

To check if your 99202 billing is accurate, first confirm that you were indeed a new patient at the time of your visit. Remember, you're considered new if you haven't seen that specific doctor or anyone in their practice within three years. If you were an established patient, the correct code should be 99212 instead.

Next, verify that the charge falls within the typical range of $110-$220. If the amount seems unusually high, contact your healthcare provider's billing department to ask for an itemized explanation. Sometimes additional services performed during your visit may result in separate charges.

If you believe you've been incorrectly billed, gather your appointment records and contact your healthcare provider's billing office first. They can review your visit notes and explain the charges. If you're still not satisfied with the explanation, you can contact your insurance company to request a review of the claim. Keep detailed records of all communications regarding billing disputes.

Codes Often Confused With CPT 99202

CPT 99203 CPT 99212

Frequently Asked Questions

How much does a CPT 99202 visit typically cost?
A CPT 99202 visit typically costs between $110 and $220, depending on your healthcare provider and location. Medicare pays $72.26 for this service, but your actual out-of-pocket cost depends on your insurance coverage and deductible status.
What's the difference between CPT 99202 and 99203?
Both codes are for new patient visits, but CPT 99202 is for straightforward medical issues while 99203 involves low complexity problems. Code 99203 typically requires more time, a more detailed examination, and more complex medical decision-making, resulting in higher charges.
Can I be charged CPT 99202 if I've seen the doctor before?
No, CPT 99202 is only for new patients who haven't seen that doctor or anyone in their practice group within the past three years. If you're an established patient, you should be billed using code 99212 for similar straightforward visits.