2025年3月20日 · E/M codes are found in the CPT ® code set in the range 99202-99499 and cover a variety of services. Many E/M codes, such as those for inpatient care and home visits, include a combination of patient history, examination, and medical decision making (MDM).

Straightforward medical decision making: Codes 99202 and 99212 include one self-limited or minor problem with minimal or no data and minimal risk. An example of a 99202 or 99212 is an otherwise...

On Jan. 1, 2021, revised office/outpatient visit E/M CPT® codes (99202-99215) and associated documentation went into effect. The revised codes are the culmination of collaboration among the Centers for Medicare & Medicaid Services,

Find the total time and medical decision making levels for a variety of E/M codes and service areas. Jump to a Service Table: Office or Other Outpatient | Inpatient and Observation Care |...

2025年2月17日 · In many cases, MDM will now determine the level of service. Level 1 (99202): Minimal/straightforward MDM; Level 2 (99203): Low MDM; Level 3 (99204): Moderate MDM; Level 4 (99205): High MDM; History and Exam Requirements. For 2025, there is a shift from the detailed history and examination requirements to a more streamlined process.

In the Evaluation and Management section (99202-99499), there are many code categories. Each category may have specific guidelines, or the codes may include specific details. These E/M guidelines are written for the following categories: Office or Other Outpatient Services Hospital Inpatient and Observation Care Services Consultations

The official description of CPT code 99202 is: “Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter.

“In 2021, new patient codes 99202-99205 no longer require the three key components or reference typical face-to-face time. Instead, each service includes “a medically appropriate history and/or examination,” and code selection is based on the MDM [medical decision making] level or total time spent on that date.”

Select CPT codes 99202-99205 and 99211-99215 based on the level of Medical Decision Making (MDM) OR Time Time for these services is the total time on the date of the encounter. It includes both the face-to-face and non-face-to-face time personally spent by the

There are four types of MDM (straightforward, low, moderate and high). The level of MDM is chosen based on meeting or exceeding two of the three MDM elements: number and complexity of problems addressed at encounter, amount and/or complexity of …