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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.

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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 60–74 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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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
[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
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 Nor... [ Read More ]
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 ]
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