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CPT Code 99205: Billing Compliance and Audit Defense Guide [2026]

CPT code 99205 billing guide showing high complexity MDM requirements and 60 minute time threshold for new patient visits

Fact Detail Code 99205 Short Description New patient office or other outpatient E/M visit Patient Type New patient; no professional services from the same provider, same specialty, or same group within the prior three years MDM Level Required High complexity Minimum Time 60 minutes of total provider time on the date of the encounter Two […]