CPT^® 99205, Under New Patient

The Current Procedural Terminology (CPT^®) code 99205 as maintained by American Medical Association, is a medical procedural code under the range - New Patient.

Additional/Related Information

Tabs

Summary

The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider spends 60 or more minutes of total time on the encounter on a single date.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 99205 ? Start a discussion here

99205

Hi Laura Wilson CPT 99205 cannot be used with CPT 90792 or 90791 or crisis CPT codes per CPT manual. Psych docs should use CPT 90792 -90791 first time with mental health dx codes. There are differe... [ Read More ]

99205

Hello, Has anyone used 99205 in their Psychiatrist office? I have not been able to locate the code in my CPT book. What are the requirements to use the code? Will it make more money than using 90... [ Read More ]

Cigna 25 modifier policy

[QUOTE="Sheri24sm, post: 513689, member: 367488"] KarenZupko& Associates has an alert for the 25 Mod: [CENTER]Modifier 25 Alert! Are you aware of the latest Aetna, Anthem, and Cigna changes to Evalu... [ Read More ]

Cigna 25 modifier policy

KarenZupko& Associates has an alert for the 25 Mod: [CENTER]Modifier 25 Alert! Are you aware of the latest Aetna, Anthem, and Cigna changes to Evaluation and Management (E/M) coding? [/CENTER] [B]... [ Read More ]

dietitian billing: Hi i need help with some dietitian billing. any experts? what are the proper cpt codes for billing a dietitian visit?

Dietitians are not a recognized provider type that can bill the 99211-99205 series of codes. Providing E/M services are not in the scope of practice for a dietitian. Those codes are reserved for phy... [ Read More ]

E/M Observation Status question

You can use your Office or OTHER outpt codes. the 99202-99205. Or you can use your observation codes. 99218-99220. It will depend on if your clearing house will accept the "other" outpt codes or note.... [ Read More ]

Hospital Based Clinic

Hello everyone, I have a question that has been bugging me for the last 2 months, I am the clinics Pro Fee Coder (about 5 clinics that I code for using the EPIC system). I work for a hospital in North... [ Read More ]

Hospital based Clinic

Compliancy- time based billing

[QUOTE="csperoni, post: 512287, member: 164618"] There is nothing prohibiting billing every visit based on time. It's one of those situations where it does make something look suspicious, and an insur... [ Read More ]

View All