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Use This Handy Chart to Nail Down Elements of 99213, 99214

Published on Wed Aug 03, 2005

Knowing the code's minimum criteria is more than half the battle

Document every procedure your pulmonologist completes, and code for what the pulmonologist documents, and you've got it made - in 99214 terms.

You can successfully code and document level-four established patient office visits (99214) for many of your pulmonology patients by remembering the code's minimum criteria. Compare 99213's to 99214's documentation requirements.

Note:  For coding based on time, over half the total visit time must involve counceling and/or coordination of care. 

This chart was reviewed by Alan L. Plummer, MD, professor of medicine, Division of Pulmonary, Allergy and Critical Care at Emory University School of Medicine in Atlanta.
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