CPT^® 99243, Under New or Established Patient

The Current Procedural Terminology (CPT^®) code 99243 as maintained by American Medical Association, is a medical procedural code under the range - New or Established Patient.

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Summary

The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at least 30 minutes of total time on the encounter on a single date.

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Code 99203 vs 99243

Can you bill a 99243 and a 99214 together? I have a provider that likes to bill both but i don't think you can bill both.... [ Read More ]

PROVIDER NOT THE OFFICE BUT BILLING FOR OFFICE VISIT

Yes, the note should not appear as though he was present and personally examined the patient. It should state pt was present in office with RN and whether the provider/patient interaction was audio o... [ Read More ]

Provider wants to charge for time spend doing refills

I think you would want to start by reviewing what CPT codes are being proposed to be billed by the provider. For example, 90837 requires face to face interaction and includes pharmacologic management.... [ Read More ]

AETNA CONSULTS

[QUOTE="tscobee, post: 502841, member: 9946"] We are having trouble getting paid for initial date seen in the hospital by Aetna. They are saying the plan has a maximum number of services allowed for t... [ Read More ]

E/M Consultation - CPC exam prep question - help

You have to [B][I][B][I]meet or exceed[/I][/B][/I][/B][I] [/I][B][I]each[/I][/B][I][B] of the 3 key components[/B][/I] for consultation codes. Side note - same applies to initial inpatient visits 9922... [ Read More ]

AETNA CONSULTS

We are having trouble getting paid for initial date seen in the hospital by Aetna. They are saying the plan has a maximum number of services allowed for this procedure even though this is the first an... [ Read More ]

Observation Coding

[QUOTE="jhaider, post: 499124, member: 334747"] I am having the hardest time getting ANY observation claims paid all of a sudden. We are consulting physicians so we never "admit/discharge" patients. W... [ Read More ]

Observation Coding

I am having the hardest time getting ANY observation claims paid all of a sudden. We are consulting physicians so we never "admit/discharge" patients. We have been using 99243-99245 with the hospital ... [ Read More ]

Consultation Codes

[QUOTE="scaddell, post: 494545, member: 538435"] Hello, I was wondering if there were any higher level consultation codes other than the 99243 that can be billed for a patient where extensive time wa... [ Read More ]

Consultation Codes

Hello, I was wondering if there were any higher level consultation codes other than the 99243 that can be billed for a patient where extensive time was involved. Maybe an add on code that I'm missing... [ Read More ]

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