CPT 99202
CPT Code 99202: Office visit, new patient, low complexity
Duration
15-29 min
Typical Fee
$80-$150
Type
Outpatient therapy
Note: New patient E/M.
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
Reimbursement Expectations
OON reimbursement typically 50-70% of UCR. Expect $40-$105 from commercial insurers.