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LEVEL 3 ESTaBLISHED
OFFICE PATIENT |
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Level 3 Office Visit (99213)
This level of care is located “in the middle’ of the coding spectrum for office visits with established patients. Not surprisingly, the 99213 was the most popular choice for these encounters in 2003. In that year internists selected this level of care for 56.7% of office visits with established patients. This code also has the distinction of being the most widely used CPT code on the planet. In 2003, the 99213 was reported 108,985,507 times by all physicians combined. Usually the presenting problems are of low to moderate severity. The reimbursement for this level of care is approximately $52.00.
The documentation for this encounter requires TWO out of THREE of the following :
1) Expanded Problem Focused History
2) Expanded Problem Focused Exam
3) Low Complexity Medical Decision-Making
Or 15 minutes spent face-to-face
with the patient if coding based on time. The appropriate
documentation must be included.
Clinical
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