Office consultation, moderate complexity

In the landscape of Evaluation and Management (E/M) services, CPT code 99244 holds significance as an office consultation for complex patients. This code encapsulates encounters that necessitate comprehensive history, detailed examination, and moderate complexity decision-making.

Details

CPT code:

99244

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Office or Other Outpatient Consultations

Type:

New or Established Patient

99244 is deployed when healthcare providers engage in thorough consultations with patients whose conditions are intricate. The code reflects the depth of interaction, requiring comprehensive exploration of the patient's medical history, a detailed physical examination, and decision-making that involves navigating moderate complexity scenarios. Its use ensures precise documentation of efforts in managing patients with multifaceted health concerns.

Under what category does Office consultation, moderate complexity fall?

Category I

What is the billing unit for Office consultation, moderate complexity?

Per Encounter

Modifiers

-

Clinical use

Office or other outpatient consultation for a new or established patient, very high complex decision making.

Documentation

Comprehensive history, examination; higher MDM.

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