99202E/M2026

CPT 99202 RVU Value — Office o/p new sf 15 min

2026 CMS Physician Fee Schedule · 0.93 Work RVUs · 2.25 Total RVUs

Work RVU

Physician time and effort

0.93

Practice Expense RVU

Equipment and overhead costs

1.25

Malpractice RVU

Professional liability costs

0.07

Total RVU

Sum of all components

2.25

Evaluation & Management

Patient encounters and consultations

Common specialties: Primary Care, Hospitalist, Internal Medicine

View specialty hub

About CPT 99202

How many wRVUs is 99202 in 2026?

CPT code 99202 has 0.93 work RVUs in 2026 according to the CMS Physician Fee Schedule. The total RVU value including all components is 2.25 RVUs.

What type of procedure is 99202?

99202 is classified as E/M: Office o/p new sf 15 min. This procedure is commonly used by: Primary Care, Hospitalist, Internal Medicine.

What is the RVU breakdown for CPT 99202?

CPT 99202 has three RVU components in 2026: Work RVU 0.93 (physician effort), Practice Expense RVU 1.25 (overhead costs), and Malpractice RVU 0.07 (liability). The combined Total RVU is 2.25.

How do I calculate total compensation for 99202?

To calculate compensation: Work RVUs (0.93) x Your dollar-per-wRVU rate x Geographic Practice Cost Index (GPCI). For example, at $55/wRVU, one 99202 generates approximately $51 in physician compensation. Use the calculator below to estimate values for multiple quantities.

Clinical Usage Guidelines

Documentation Requirements

Important: Proper documentation is required to support billing for 99202. Ensure your documentation meets CMS guidelines and local carrier policies.

Common Modifiers

-25Significant, separately identifiable E/M
-57Decision for surgery

Compare E/M Codes

CodeDescriptionWork RVUTotal RVUDiff
99202Office o/p new sf 15 min0.932.250.00
99203Office o/p new low 30 min1.603.52+0.67
99204Office o/p new mod 45 min2.605.31+1.67
99205Office o/p new hi 60 min3.507.09+2.57
99211Off/op est may x req phy/qhp0.180.73-0.75

Calculate RVUs for 99202

Explore More Evaluation & Management Codes

Discover other high-value CPT codes in evaluation & managementand optimize your practice productivity.

View Evaluation & Management Hub