Practice Management Book

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E/M New Outpatient VisitAka: E/M New Office Visit, CPT 99201, CPT 99202, CPT 99203, CPT 99204, CPT 99205

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  1. Indication
    1. E/M New Patient
  2. New Outpatient: CPT Code 99201
    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: 10 minutes
  3. New Outpatient: CPT Code 99202
    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. Problem severity
      1. E/M Low Severity Problem
      2. E/M Moderate Severity Problem
    3. Physician Time: 20 minutes
  4. New Outpatient: CPT Code 99203
    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: 30 minutes
  5. New Outpatient: CPT Code 99204
    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: 45 minutes
  6. New Outpatient: CPT Code 99205
    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: 60 minutes

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