New patient office visit evaluation and management codes
| Level | Requirement (all 3 must be at the billed level) | Time (minutes) | RVUs | ||||
|---|---|---|---|---|---|---|---|
| History | Examination | Medical decision-making | |||||
| HPI | ROS | PFSH | Organ systems | Diagnoses/complexity/risk | |||
| Level 1 (N1) 99201 | 1–3 | None | None | 1 | Straightforward | 10 | 0.48 |
| Level 2 (N2) 99202 | 1–3 | 1 | None | 2–7 (no detail) | Straightforward | 20 | 0.93 |
| Level 3 (N3) 99203 | ≥ 4 | 2–9 | 1–2 | 2–7 (with detail) | Low complexity | 30 | 1.42 |
| Level 4 (N4) 99204 | ≥ 4 | ≥ 10 | 3 | ≥ 8 | Moderate complexity | 45 | 2.43 |
| Level 5 (N5) 99205 | ≥ 4 | ≥ 10 | 3 | ≥ 8 | High complexity | 60 | 3.17 |
HPI = history of present illness; PFSH = past medical, family, and social history; ROS = review of systems; RVU = Relative Value Unit