E/M Office Visits

CPT 99204 vs 99205

New Patient Office Visit Level 4 vs Level 5 — side-by-side RVU comparison with clinical guidance on when to use each code.

Key Difference

99205 is the highest-level new patient visit, requiring high MDM complexity. The wRVU premium is substantial and reflects complex diagnostic and treatment decision-making.

Clinical Documentation Tip

High complexity new patient visits often involve diagnostic uncertainty, multiple organ system involvement, or urgent treatment decisions.

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