CPT 99225

Expanded Problem Focused Interval History And/Or Expanded Problem Focused Exam With Moderate Medical Decision Making

CPT 99225 is a billing code that the 2026 Medicare Physician Fee Schedule does not price. Commercial payers may still reimburse it.

Medicare rate by state

Medicare rates for this code are not published in the 2026 physician fee schedule.

Billed by 1 specialties

Commercial rates for 99225

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates