What does CPT code 99212 mean?

What does CPT code 99212 mean?

evaluation and management
99212 CPT Code: 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.

What level is 99212?

level two
CPT Code 99212 is a level two code. It must be billed with an established patient, not as a new patient visit of any form. The visit should be conducted in an outpatient atmosphere or as an in-office visit.

What is the difference between CPT code 99211 and 99212?

Unlike other office visit E/M codes – such as 99212, which requires at least two of three key components (problem-focused history, problem-focused examination and straightforward medical decision making) – the documentation of a 99211 visit does not have any specific key-component requirements.

Does 99212 need a modifier?

Remember, the 25 modifier is added to the E/M code (99201-99205, 99212-99215), not the CMT code (98940-98943) and BOTH must be performed during the same visit. If only an E/M service is billed, the 25 modifier is not required.

Is 99212 still valid?

Psychiatry codes 99212 through 99215 and 99202 through 99205 are differentiated by clients being new or established. Unlike 99212-99215, 99202-99205 describe newly established clients being seen for evaluation and management services. Code 99212 should only be used with established clients you have already seen.

Can nurses Bill 99212?

absolutely not. E&M levels are always provider levels (physician, NP, PA), the 99211 is referred to as a “nurse” level but truely it is not.

How many minutes is 99212?

Time

CPT Code Total Time
99212 10-19 mins
99213 20-29 mins
99214 30-39 mins
99215 40-54 mins

Is 99212 a nurse visit?

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.

What is a 62 modifier?

Under certain circumstances, two surgeons (usually with different expertise) may be needed to perform a specific surgical procedure. In this case, both surgeons report the same surgical procedure code with modifier 62 appended. This modifier indicates that one procedure was performed by two surgeons.

Where is the place of service for CPT 99212?

Established Patient Office
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.

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