CPT Code 99205: Complete Guide to Reimbursement, Time, Documentation & Billing (2026 Updated)

CPT code 99205 is the highest-level evaluation and management (E/M) code for new patient office or outpatient visits. To bill it, you need either high complexity medical decision making (MDM) or a minimum of 60 minutes of total provider time on the date of service. The 2026 Medicare reimbursement rate is $236.81 (non-facility). This guide […]