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NEW OFFICE PATIENTS
 

 
New Office Patients (99201-99205)

These codes are used to bill for new patients being seen in the office.   A new patient is defined as someone who has never been seen by you or a physician in the same specialty in your group OR who has not been seen by you or a physician in the same specialty in your group for at least three years.  There are five levels of care for this type of encounter which all require the documentation of three out of three key components.
Level E/M Code History Physical Exam MDM Time
1 99201 Problem Focused Problem Focused Straightforward 10
2 99202 EPF EPF Straightforward 20
3 99203 Detailed Detailed Low 30
4 99204 Comprehensive Comprehensive Moderate 45
5 99205 Comprehensive Comprehensive High 60
For these encounters, documentation of all three key components is required for any given level of care
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