CPT Code 99202: Office visit, new patient, low complexity

When to Use CPT 99202

Use CPT code 99202 when billing for office visit, new patient, low complexity. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 99202 to a Superbill

When generating a superbill with CPT 99202, include the ICD-10 diagnosis code, date of service, fee charged, amount paid, and your NPI number. Superbilled pre-fills common therapy CPT codes automatically.

Common ICD-10 Pairings

These diagnosis codes are frequently used alongside CPT 99202:

Documentation Requirements

Document straightforward medical decision making with limited data review. Include problem-focused history and exam components.

Common Denial Reasons

• ✗ Medical decision-making complexity does not match the low complexity level
• ✗ Documentation supports a higher or lower E/M level
• ✗ Missing new patient documentation requirements

Got one of these on a remittance? Decode the denial code.

Reimbursement Expectations

OON reimbursement typically 50-70% of UCR. Expect $40-$105 from commercial insurers.