CPT^® 99212, Under Established Patient

The Current Procedural Terminology (CPT^®) code 99212 as maintained by American Medical Association, is a medical procedural code under the range - Established Patient.

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Summary

The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making, and/or the provider spends 10 or more minutes of total time on the encounter on a single date.

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View matching HCPCS Level II codes and their definitions.

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level 2 or 3?

Would you code as 99212, or 99213: ( This office visit also included a mastoid bowl debridement) (3) Mixed hearing loss of right ear: Qualifiers: Contralateral hearing status: unrestric... [ Read More ]

E&M help

I work for a dermatologist that insists on billing E&M for follow up where no further tx is needed. ex; pt has 2 bx one was a benign SK no further tx needed and he instructed pt to f/u if further tx n... [ Read More ]

Echo and Stress Echo

Can we bill 93306 then 93351? There is a gap of 3 days but 1199 SEIU benefit plan of New York is [B]denying for inclusive[/B]. We billed 99212 (25) + 93306 on dos 08/23/2022 and 93351 alone on 08/26/... [ Read More ]

E/M with Psychotherapy Add On vs. Straight Psychotherapy (Cross Posted)

I've posted this to the Behavioral Health forum as well I am looking for assistance understanding when a provider, psychiatrist in this case, should bill am E/M code and psychotherapy add-on and when... [ Read More ]

E/M with Psychotherapy Add On vs. Straight Psychotherapy

I am looking for assistance understanding when a provider, psychiatrist in this case, should bill am E/M code and psychotherapy add-on and when it is more appropriate to bill just the psychotherapy co... [ Read More ]

E/M coding

[QUOTE="jbhuju, post: 515379, member: 461213"] i do have a question regarding this. what if provider select 99211? those are not billable under provider right? provider has to select atleast 99212 if ... [ Read More ]

E/M coding

i do have a question regarding this. what if provider select 99211? those are not billable under provider right? provider has to select atleast 99212 if i am not wrong? please help.... [ Read More ]

office visit level for ortho visit with MRI order only

Anyone else in ortho have providers examining a patient for joint pain, either new or established, and they order an MRI to investigate a joint, and code it 99203-99213? My thoughts... Problems addre... [ Read More ]

Patient Left Without Seeing Physician

[QUOTE="mitchellde, post: 452191, member: 30657"] The facility can bill a level based on the facility tool for the level met based on the resources used. The physician may not bill since the physicia... [ Read More ]

billing for op facility- for triage

Facility billing for patients that leave without being treated. My understanding is that the emergency dept. can bill for triage if the pt leaves before treatment. However that same guidance is not i... [ Read More ]

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