Always confirm costs with your healthcare facility and/or insurance coverage
TL;DR:
CPT code 99203 is used for a moderate complexity office visit for a new patient.
Typical out-of-pocket costs range from $130 to $300.
đŠē What is CPT Code 99203?
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CPT Code: 99203
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Description: Office or outpatient visit for the evaluation and management of a new patient, moderate complexity, typically 30-44 minutes.
đĩ How Much Does CPT Code 99203 Cost?
Scenario |
Typical Price Range (USD) |
|---|---|
Cash Pay |
$130 â $250 |
Private Insurance |
$50 â $120 |
Medicare Approved Amount |
~$160 |
Hospital-Owned Clinic |
$200 â $300 |
đĨ When is CPT 99203 Used?
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Initial evaluation for new patients with moderate concerns.
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More detailed history and exam than a simple check-up.
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Chronic condition management for first-time visits.