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Tip Sheet: Outpatient Evaluation & Management Services (PT ...

Tip sheet : Outpatient Evaluation & Management Services (CPT codes 99202-99215) :::::::::EFFECTIVE JANUARY 1, 2022 Version Date January 2022 (replaces 3-29-21) Phone: 773-834-1143 instructions : This tip sheet pertains only to Office/ Outpatient E/M codes 99202-99215 whether conducted in-person or via video. This tip sheet does not apply to telephone E/M which are billed with CPT 99441-99443. For detailed Telehealth coding guidance, click here. All other E/M Services still use History, Exam, and Medical Decision Making to level Services , including consultations, inpatient, observa-tion, and ED Services . For guidance on all other E/M s (excluding Outpatient E/M) click here. Office/ Outpatient E/M Code Description (99201-99215) Level Time n/a for PCE MDM Office or other Outpatient visit for the Evaluation and Management of a NEW patient which requires medically appropriate history and/or examination and [SF/Low/Mod/High] level of medial decision making 99202 99203 99204 99205 15-29 30-44 45-59 60-74 Straightforward Low Moderate High Office or other Outpatient visit for the Evaluation and Management of a ESTABLISHED patient which requires medically appropriate history and/or examination and [SF/Lo]

Obtaining/reviewing separately obtained history ... Referring and communicating with other health care professional (when not separately reported) Documenting clinical information in the electronic or other health record Independently interpreting results (not ... See the O tip sheet for instructions on how to access and .

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