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LEVEL 5 NEW
OFFICE VISIT (99205) |
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Level 5 New Patient Office Visit (99205)
The 99205 represents the highest level of care for new patients seen in the office. This is the third most popular code used to bill for these encounters among internist who used the 99205 to bill for 21% of new office patients in 2003. The reimbursement for this level of care is approximately $170.00. Usually the problems are of moderate to high severity.
The documentation for this encounter requires THREE out of THREE of the following :
1) Comprehensive History
2) Comprehensive Exam
3) High Complexity Medical Decision-Making
Or 60 minutes spent face-to-face with the patient if coding based on time.The appropriate
documentation must be included.
Clinical
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