CPT procedure code

99212 — Office/outpatient visit, established patient, straightforward

E/MCPT

Medicare payment

$59.45

2026 Physician Fee Schedule · non-facility

Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A

National amount before geographic adjustment. Your MAC's locality rate will differ.

Code definition

Code

99212

Code system

CPT (Current Procedural Terminology)

Description

Office/outpatient visit, established patient, straightforward

Category

E/M

Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.

Latest reimbursement alerts

No policy changes are currently matched to 99212. Here are the latest changes across all codes.

FDA Approval: RHAPSIDO (REMIBRUTINIB) — Type 1 - New Molecular Entity

Hematology

Routine
View alert

CMS Transmittal Exhibit 286, Hospital, Critical Access Hospital (CAH) and Rural Emergency…: N/A

Inpatient (IPPS)

Routine
View alert

CMS Transmittal R249SOMA: Exhibit 286, Hospital, Critical Access Hospital (CAH) and Rural Emergency… 2026-10-09 N/A

Multi-specialty

High
View alert

CMS Transmittal R13988CP: Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health…

Home Health

Critical
View alert

CMS Transmittal R13984CP: Combined Common Edits/Enhancements Modules (CCEM) Code Set Update

Multi-specialty

High
View alert

CMS Transmittal R13983CP: October 2026 Update of the Ambulatory Surgical Center (ASC) Payment System

Hospital Outpatient (OPPS)

High
View alert

Audit documentation

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Related CPT codes (992xx)

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