Office or other outpatient visit for established patients (levels 1-5)

Office visits for established patients with varying complexity.

Details

CPT code:

99211-99215

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Various, typically used by many specialties

Type:

Evaluation and Management

CPT codes 99211-99215 encompass office visit services tailored for established patients. These codes allow healthcare providers to document and bill for encounters with patients who require varying levels of medical evaluation and management. They serve as a crucial tool for healthcare billing and reimbursement, ensuring that the complexity of the patient's condition is accurately reflected in the services provided.

Under what category does Office or other outpatient visit for established patients (levels 1-5) fall?

Category I

What is the billing unit for Office or other outpatient visit for established patients (levels 1-5)?

Per office visit

Modifiers

Various E/M modifiers

Clinical use

Similar to the above, these codes are used for the evaluation and management of established patients in clinical settings, addressing a wide range of medical needs and conditions.

Documentation

Documentation should include the reason for the visit, medical history, relevant examination findings, medical decision-making, date of service, and details of the patient's established condition. Comprehensive records support accurate billing and quality patient care.

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