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99203 Medicare Reimbursement Rate (2026)

Current CMS pricing and breakdown for Office o/p new low 30 min.

CPT Code 99203

National Average Payment

Non-Facility (Private Office) Rate

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$117.57
Effective Jan 1, 2026

⚠️ This is a National Estimate

Your actual reimbursement depends on your specific Zip Code and GPCI adjustments (e.g., New York vs. Texas).

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Code Description

Office o/p new low 30 min

2026 Breakdown

ComponentOffice (Non-Fac)Facility (Hosp)
Work RVU1.61.6
Practice Expense (PE)1.760.38
Malpractice (MP)0.160.16
Total RVUs3.522.14

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Nearby Codes

9920299204