CPT^® 99215, Under Established Patient

The Current Procedural Terminology (CPT^®) code 99215 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 high level of medical decision making, and/or the provider spends 40 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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25075 x3 , 99215 , 99417 x2 with out separate documentation of OV time and procedure time?

The issue is the provider did not document separate time for the procedure (CPT: 25075) E&M of 99215 &99417 X2 is coded by provider based on total time of 95 mins. I am questing the E&M of 99215 with ... [ Read More ]

Modifiers for G0439, 99215 and 99498

you must carve out the dx codes for each to have them seperated. i.e. 99215 extended ov for chronic conditions, hypertension, diabetes - whatever they filled meds for and G0439 sub awv for wellness, ... [ Read More ]

25075 x3 , 99215 , 99417 x2 with out separate documentation of OV time and procedure time?

Time spend on each activity should be documented. if 99215 was documented not based on time but on documentation. then the time spend for 99417 should have additional elements and documentation carved... [ Read More ]

25075 x3 , 99215 , 99417 x2 with out separate documentation of OV time and procedure time?

Provider wanting to bill CPT code 25075 X 3 , 99215, 99417 x2 . provider documented chart review time ( 1 min), documentation time (11 min) , Face Time (9:42am to 10:47am), and Total time ( 95 min) fo... [ Read More ]

E&M

Why do you think he can bill a 99215? The level is dependent on the MDM (or time) and requires 2/3 criteria of # of diagnoses, data, risk to meet a certain level. You have only provided the level of r... [ Read More ]

E&M

If a doctor makes a decision for a 90-day global surgery--carpal tunnel release-- Can he bill 99215? Can someone share their thoughts... [ Read More ]

Telehealth Scenario - Video to phone

There were several posts about this within the past 2 years. The CMS guidance was if the majority of the visit was able to be completed via video, code 99202-99215. If the video never connected, the... [ Read More ]

Office visit or procedure is it a choice?

Good Morning all, I have 2 physicians that are arguing with me. Here are the scenarios: 1) A patient comes in for a scheduled cystoscopy and then the Phys spends 45 min they want to only bill the 9... [ Read More ]

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 ]

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 ]

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