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

Office visits for new or established patient exams.

Details

CPT code:

99201-99205

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Various, typically used by many specialties

Type:

Evaluation and Management

CPT codes 99201-99205 represent a series of evaluation and management services for patient office visits. These codes cover a range of new or established patient encounters, each with varying levels of complexity. They are vital for documenting the medical evaluation and management of patients in an office or clinical setting, ensuring that healthcare professionals are appropriately compensated for their services and expertise.

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

Category I

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

Per office visit

Modifiers

Various E/M modifiers (e.g., -25 for separately identifiable E/M service during a procedure)

Clinical use

These codes are used for the evaluation and management of patients during office visits, covering a range of clinical purposes, from routine check-ups to diagnosing and managing various medical conditions.

Documentation

Proper documentation should include the reason for the visit, history, examination findings, medical decision-making, date of service, and the patient's relevant medical history. Accurate records are crucial for billing and clinical care.