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ESTABLISHED
OFFICE PATIENTS
 

 
Established Office Patients (99211-99215)

These codes are used to bill for established patients being seen in the office.An established patient is defined as someone who has been seen by you or a physician in the same specialty in your group within the previous three years.There are five levels of care for this type of encounter which all require documentation of TWO out of THREE key components.
Level E/M Code History Physical Exam MDM Time
1 99211 None None None 5
2 99212 Problem Focused Problem Focused Straightforward 10
3 99213 EPF EPF Low 15
4 99214 Detailed Detailed Moderate 25
5 99215 Comprehensive Comprehensive High 40
For these encounters, documentation of two out of three key components is required for any given level of care
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