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LEVEL 3 NEW
OFFICE VISIT (99203) 
 

 
Level 3 New Patient Office Visit (99203)

Perhaps because it is located “in the middle”, the 99203 is the most frequently used code for new office patients.   Internists used this code for 38.7% of these encounters in 2003 for a total of 531,818 visits.  The reimbursement for this visit is about $95.00.  Usually the presenting problems are of mild to moderate severity.  This code ranks 48th among the most frequently used CPT codes.

The documentation for this encounter requires THREE out of THREE of the following :

1)  Detailed History
2)  Detailed Exam
3)  Low Complexity Medical Decision-Making

Or 30 minutes spent face-to-face with the patient if coding based on time.  The appropriate documentation must be included.

Clinical Example
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