Procedure · Updated Oct 1, 2026
New patient office visit: CPT code and Medicare rate
A first office visit with a clinician who has not seen you in the last three years. New-patient visits are billed at one of four levels, 99202 through 99205, and each level has its own allowed amount.
Also called: office visit new patient, first visit with a doctor, establishing care, new patient appointment.
Usually billed as
- Office (non-facility)
- $117.57
- Facility
- $71.48
National amounts for the Q4 2026 release (October 1 – December 31, 2026), using geographic index values of 1.000. Your local rate differs; the code page has the locality breakdown.
Localis prices the level on the claim; it does not determine which level a visit supports.
Common questions Copy link
New patient office visit: which code is it?
New patient office visit: how much does Medicare pay?
New patient office visit: what else affects the billing?
Need the rate where you practice?
Every code page carries the full locality breakdown, the RVU and GPCI inputs, and the release the numbers come from.
Keep exploring Copy link
This page maps everyday language to the code a claim normally carries. It's general information about how Medicare prices a service, not coding advice for a specific claim. The correct code always depends on what was actually documented and performed.
Did this answer your question about New patient office visit?
Tell us what you were trying to work out and we'll answer you or build the page that does.