What does CPT code 99212 mean?
Established patient office or other outpatient visit
CPT® code 99212: Established patient office or other outpatient visit, 10-19 minutes.
Is 99212 a valid CPT code?
The Current Procedural Terminology (CPT®) code 99212 as maintained by American Medical Association, is a medical procedural code under the range – Established Patient Office or Other Outpatient Services.
What is the difference between CPT code 99213 and 99212?
A tip for billing 99212 is that the presenting problems are usually self-limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. A tip for code 99213 is to think of expanded visits as a sum of the continued symptoms or another extended form of the problem.
When should I use 99212?
99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making.
Can you bill 99211 for dressing change?
If the dressing change is performed by nursing staff under incident-to conditions, you may use code 99211.
CPT® 99212, Under Established Patient Office or Other Outpatient Services. The Current Procedural Terminology (CPT®) code 99212 as maintained by American Medical Association, is a medical procedural code under the range – Established Patient Office or Other Outpatient Services.
What is the CPT code 99350?
CPT Code 99350 A comprehensive interval history; A comprehensive examination; and. Medical decision making of moderate to high complexity.
What is the difference between CPT code 99211 and 99212?
CPT 99211 Description: An outpatient visit or office visit of an established patient. A qualified healthcare professional (physician or other) may not be required. CPT 99212 Description: An outpatient visit or office visit of an established patient. The visit involves management and evaluation.
How long is a 99212 visit?
10 minutes
Typical times for established patient office visits
| CPT code | Typical time |
|---|---|
| 99212 | 10 minutes |
| 99213 | 15 minutes |
| 99214 | 25 minutes |
| 99215 | 40 minutes |
How do I bill Medicare home visit?
Medicare considers home visits (99341-99345, 99347-99350) as long as it meets Evaluation & Management guidelines and is within your states’ scope of practice. A home visit cannot be billed by a physician unless the physician was actually present in the beneficiary’s home.
What is subsequent nursing facility care?
SUBSEQUENT NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: A DETAILED INTERVAL HISTORY; A DETAILED EXAMINATION; MEDICAL DECISION MAKING OF MODERATE COMPLEXITY.
How Much Does Medicare pay for 99212?
Procedure Code 99212 Reimbursement Rates – Medicare
| CPT Code | Service Time | Rate |
|---|---|---|
| 99212 | 10 minutes | $46.13 |
| 99213 | 15 minutes | $68.10 |
| 99214 | 25 minutes | $110.43 |
| 99215 | 40 minutes | $148.33 |
Can you bill 99212 for nurses?
In most cases, the visit would be a level one new patient visit (99201), level two established patient visit (99212), or nurse visit (99211), since only one body area is examined, and the history and/or medical decision-making are straightforward.