Practice Management Book

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E/M Consultation ServicesAka: E/M Consultation, CPT 99241, CPT 99242, CPT 99243, CPT 99244, CPT 99245

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  1. Indication
    1. Outpatient Consultation
  2. Outpatient Consultation: CPT Code 99241
    1. Key Components (All 3 meet or exceed requirements)
      1. E/M Problem Focused History
      2. E/M Problem Focused Exam
      3. E/M Straightforward Medical Decision
    2. E/M Self Limited or Minor Problem
    3. Physician Time: 15 minutes
  3. Established Outpatient: CPT Code 99242
    1. Key Components (All 3 meet or exceed requirements)
      1. E/M Expanded Problem Focused History
      2. E/M Expanded Problem Focused Exam
      3. E/M Straightforward Medical Decision
    2. E/M Low Severity Problem
    3. Physician Time: 30 minutes
  4. Outpatient Consultation: CPT Code 99243
    1. Key Components (All 3 meet or exceed requirements)
      1. E/M Detailed History
      2. E/M Detailed Exam
      3. E/M Low Complexity Medical Decision
    2. E/M Moderate Severity Problem
    3. Physician Time: 40 minutes
  5. Outpatient Consultation: CPT Code 99244
    1. Key Components (All 3 meet or exceed requirements)
      1. E/M Comprehensive History
      2. E/M Comprehensive Exam
      3. E/M Moderate Complexity Medical Decision
    2. Problem Severity
      1. E/M Moderate Severity Problem
      2. E/M High Severity Problem
    3. Physician Time: 60 minutes
  6. Outpatient Consultation: CPT Code 99245
    1. Key Components (All 3 meet or exceed requirements)
      1. E/M Comprehensive History
      2. E/M Comprehensive Exam
      3. E/M High Complexity Medical Decision
    2. Problem Severity
      1. E/M Moderate Severity Problem
      2. E/M High Severity Problem
    3. Physician Time: 80 minutes

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