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Established Patient CPT® Code range 99211- 99215

The Current Procedural Terminology (CPT) code range for Office or Other Outpatient Services 99211-99215 is a medical code set maintained by the American Medical Association.

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CPT® Code Range 99211- 99215
Section 99211-99215
Established Patient
99211
99212
99213
99214
99215
On a CPT® code's hierarchy page, you get to see a medical code's neighbors, including the CPT® codes' official long descriptors. Seeing related codes helps coders choose the correct code, improving their accuracy rate.
Click on a blue code to see a sample of a CPT® code's details page.
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CPT® 2024 Brings More E/M Changes
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Lincare Holdings to Pay $29 Million for Medicare Overbilling
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Floridabased company admits to improper billing for oxygen equipment. Lincare Holdings Inc. a Floridabased wholly owned subsidiary of German multinational chemical corporation Linde plc has agreed to ... [ Read More ]
Check Out These HCPCS Level II Code Changes in Effect Oct. 1
September 06, 2023
New codes may help providers get paid for emerging services and supplies. The Centers for Medicare 38 Medicaid Services CMS has posted the HCPCS Level II code set update for fourth quarter 2023 on its... [ Read More ]
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Is telehealth billable without patient present?
Hello Andreareader:) The folks above have told you correct data. We must note in the OP setting that the provider must ensure correct patient and DOB, address, Etc written on top of their notations a... [ Read More ]
TELEHEALTH BILLING
At the beginning of the telehealth expansion during the PHE, many carriers basically said "We'll follow Medicare guidelines." However, many carriers came up with their own rules and guidelines, and h... [ Read More ]
Er Visit
You are correct that it doesn't matter where the patient is. But it's not only based on how long they spend. It is the registration status of the patient, not the actual physical location of the pat... [ Read More ]
Can 99211 and 69210 be billed together?
69210 and E/M 99211-99215 are CCI edits that may only be overridden with a modifier. The work that the MA is performing here does not justify -25. The practice is already receiving credit for MA room... [ Read More ]
90792 vs 99201-99205
[QUOTE="Chelle-Lynn, post: 455423, member: 190699"] 90792 is not subject to the 3 year rule as for example the 99211-99215 are. The diagnostic interview exam is done when the provider first sees a p... [ Read More ]
Multiple units with E/M office visit
Hello Everyone, May I capture 5-6 unit with Office visit E/M CPT code(99202-99205 / 99211-99215) ? I am doing E/M for Gasto Speciality, is there any specification for that Speciality coding?... [ Read More ]
Telehealth with Covid test too
[URL unfurl="true"]https://www.ama-assn.org/system/files/2020-05/covid-19-coding-advice.pdf[/URL] Scenario 3 Telehealth 99202-99215 with -95 or whatever other modifier advice is given by the carrier f... [ Read More ]
Telemedicine / COVID swab
AMA provided advice on this - specifically Scenario 3. [URL]https://www.ama-assn.org/system/files/2020-05/covid-19-coding-advice.pdf[/URL] While I may not agree, their guidance is to bill both: 1) Te... [ Read More ]
Telehealth While in Hosp/Rehab facility
[QUOTE="SharonCollachi, post: 494907, member: 654943"] You would bill with the 99231-99233 series, not 99211-99215. [/QUOTE] Would the place of service have to be 22?... [ Read More ]
Telehealth While in Hosp/Rehab facility
[QUOTE="SharonCollachi, post: 494907, member: 654943"] You would bill with the 99231-99233 series, not 99211-99215. [/QUOTE] Ah yes! Thank you.... [ Read More ]
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