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LEVEL 4 NEW
OFFICE VISIT (99204) |
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Level 4 New Patient Office Visit (99204)
This is the second most popular code used to bill for new patients being seen in the office. Internists selected the 99204 code for 30.3% of these encounters in 2003 which added up to a total of 679,839 patient visits. The reimbursement for this level of care is approximately $134.00. Usually the presenting problems are of moderate to high severity. This code ranks 68th among the most frequently used CPT codes by all physicians with a total 3,021,287 charges recorded in 2003.
The documentation for this encounter requires THREE out of THREE of the following :
1) Comprehensive History
2) Comprehensive Exam
3) Moderate Complexity Medical Decision-Making
Or 45 minutes spent face-to-face
with the patient if coding based on time.The appropriate
documentation must be included.
Clinical
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