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E/M Established Outpatient Visit

Aka: E/M Established Outpatient Visit, E/M Established Office Visit, CPT 99211, CPT 99212, CPT 99213, CPT 99214, CPT 99215

Indication
1. E/M Established Patient
Established Outpatient: CPT Code 99211
1. Key components not required
2. Physician need not be present (only supervising)
3. E/M Minimal Problem
4. Staff Time: 5 minutes
Established Outpatient: CPT Code 99212
1. Key Components (2 of 3 meet or exceed requirements)
2. E/M Self Limited or Minor Problem
3. Physician Time: 10 minutes
Established Outpatient: CPT Code 99213
1. Key Components (2 of 3 meet or exceed requirements)
2. Problem severity
  1. E/M Low Severity Problem
  2. E/M Moderate Severity Problem
3. Physician Time: 15 minutes
Established Outpatient: CPT Code 99214
1. Key Components (2 of 3 meet or exceed requirements)
2. Problem Severity
  1. E/M Moderate Severity Problem
  2. E/M High Severity Problem
3. Physician Time: 25 minutes
Established Outpatient: CPT Code 99215
1. Key Components (2 of 3 meet or exceed requirements)
2. Problem Severity
  1. E/M Moderate Severity Problem
  2. E/M High Severity Problem
3. Physician Time: 40 minutes

Established Patient Office or Other Outpatient Procedures (C0695211)
Concepts	Therapeutic or Preventive Procedure (T061)
English	Established Patient Office or Other Outpatient Procedures
Sources	Derived from the NIH UMLS (Unified Medical Language System)

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 2/5/2012 and last published on 2/5/2012.

This is one of 5663 pages in the Family Practice Notebook