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LEVEL 4 ESTABLISHED
OFFICE PATIENT |
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Level 4 Office Visit (99214)
This code represents the second highest level of care for established office patients. Internists used this code for 27.3% of established office patients in 2003 for a total of 15,275,698 visits, making this the second most commonly selected level of care for these encounters. The reimbursement for this visit is approximately $81.00. Usually the presenting problems are of moderate to high severity. This code ranks 2nd among the most frequently used CPT codes.
The documentation for this encounter requires TWO out of THREE of the following :
1) Detailed History
2) Detailed Exam
3) Moderate Complexity Medical Decision-Making
Or 25 minutes spent face-to-face
with the patient if coding based on time. The appropriate
documentation must be included.
Clinical
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