98966
| - TELEPHONE ASSMT&MGMT SVC NQHP EST PT 5-10 MIN
- Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion
| Patient to provider (CMS Telehealth)
| - Audio-only, 5-10 min
- For clinicians who may not independently bill for E/M visits. For example, PTs, OTs, SLPs, CPs
|
98967
| - TELEPHONE ASSMT&MGMT SVC NQHP EST PT 11-20 MIN
- Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion
| Patient to provider (CMS Telehealth)
| - Audio-only, 11-20 min
- For clinicians who may not independently bill for E/M visits. For example, PTs, OTs, SLPs, CPs
|
98968
| - TELEPHONE ASSMT&MGMT SVC NQHP EST PT 21-30 MIN
- Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion
| Patient to provider (CMS Telehealth)
| - Audio-only, 21-30 min
- For clinicians who may not independently bill for E/M visits. For example, PTs, OTs, SLPs, CPs
|
99358
| - PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR
- Prolonged evaluation and management service before and/or after direct patient care; first hour
| Provider to Provider
| - Requestor code. Use in addition to 99452 if the interprofessional telephone/Internet/electronic health record E/M service occurs when the patient is not present and the time spent in a day exceeds the 30 minutes covered by 99452
- 99358 may be reported on a different date than 99452
- E.g.: if total duration of service is 30-74 min, report 99452x1, 99358x1; if 75-104 min, report 99452x1, 99358x1, 99359x1
|
99359
| - PROLNG E/M BEFORE&/AFTER DIR CARE EA 30 MINUTES
- Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (List separately in addition to code for prolonged service)
| Provider to Provider
| - *Requestor code, prolonged serv. code, patient not present w/ requesting QHP
- *List separately in addition to code for prolonged service 99358
- E.g.: if total duration of service is 30-74 min, report 99452x1, 99358x1; if 75-104 min, report 99452x1, 99358x1, 99359x1
|
99446
| - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5-10 MIN
- Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 5-10 minutes of medical consultative discussion and review
| Provider to Provider
| - Consultant code, QHP to QHP, verbal and written report
- Frequency: do not report if pt seen in the past 14 days or if ITC results in transfer or in-person consult in the next 14 days
- Do not report more than once in 7 days
- Time based service: report if >50% service is verbal discussion
|
99447
| - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN
- Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 11-20 minutes of medical consultative discussion and review
| Provider to Provider
| - Consultant code, QHP to QHP, verbal and written report
- Frequency: do not report if pt seen in the past 14 days or if ITC results in transfer or in-person consult in the next 14 days
- Do not report more than once in 7 days
- Time based service: report if >50% service is verbal discussion
|
| 99448 | - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN
- Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 21-30 minutes of medical consultative discussion and review
| Provider to Provider
| - Consultant code, QHP to QHP, verbal and written report
- Frequency: do not report if pt seen in the past 14 days or if ITC results in transfer or in-person consult in the next 14 days
- Do not report more than once in 7 days
- Time based service: report if >50% service is verbal discussion
|
| 99449 | - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 31/> MIN
- Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 31 minutes or more of medical consultative discussion and review
| Provider to Provider
| - Consultant code, QHP to QHP, verbal and written report
- Frequency: do not report if pt seen in the past 14 days or if ITC results in transfer or in-person consult in the next 14 days
- Do not report more than once in 7 days
- Time based service: report if >50% service is verbal discussion
|
| 99451 | - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5/> MIN
- Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a written report to the patient's treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time
| Provider to Provider
| - Consultant code, QHP to QHP, written report
- If >50% time spent on written assessment, management and documentation (as opposed to verbal discussion), report this code
|
| 99452 | - NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN
- Interprofessional telephone/Internet/electronic health record referral service(s) provided by a treating/requesting physician or other qualified health care professional, 30 minutes
| Provider to Provider
| - Requestor code (physician or other QHP), first 16-30 minutes
- Report 99452 if spending 16-30 minutes/day preparing for the referral and/or communicating w/ consultant. Do not report more than 1x in 14-day period
|
G2010
| - Remot image submit by pt
- Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment
| Patient to provider | - Store-and-forward.
- Initiated by established pt., furnished by physician/QHP.
- Remote evaluation of recorded video and/or images submitted (e.g., store and forward)
- Includes interpretation with follow-up within 24 business hours,
- Not originating from a related E/M service provided within the previous 7 days
- Not leading to an E/M service or procedure within the next 24 hours or soonest available appointment
- Consent required (verbal, written or electronic)
- Requires that the patient or non-QHP clinician facilitating the service create a WoundReference Free Basic account and be able to send/receive emails
- Requestor needs a desktop/ tablet/ mobile with audio and camera and internet
|
| G2250 | - Remot img sub by pt, non e/m
- Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment
| Patient to provider | - Store-and-forward.
- For clinicians who may not independently bill for E/M visits. For example, PTs, OTs, SLPs, CPs
- Initiated by established pt.
- Remote evaluation of recorded video and/or images submitted (e.g., store and forward)
- Includes interpretation with follow-up within 24 business hours,
- Not originating from a related E/M service provided within the previous 7 days
- Not leading to a service or procedure within the next 24 hours or soonest available appointment
- Consent required (verbal, written or electronic)
- Requires that the patient create a WoundReference Free Basic account and be able to send/receive emails
- Requestor needs a desktop/ tablet/ mobile with audio and camera and internet
|
| G2251 | - Brief chkin, 5-10, non-e/m
- Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion
|
| - Virtual check-in.
- Initiated by established pt., furnished by physician/QHP.
- Used when nonphysician QHP is not sure if patient needs an in person appt.
- 5-10 minutes of medical discussion
- Not originating from a related e/m service provided within the previous 7 days
- Not leading to a service or procedure within the next 24 hours or soonest available appointment
- Consent required
- Can be furnished via WoundReference free, HIPAA compliant TeleVisit Tool Video Chat Edition (allows providers to see the wound, dressing etc).
- Does not require that the patient or non-QHP clinician facilitating the service (requestor) create a WoundReference Free Basic account.
|
| G2252 | - Brief chkin by md/qhp, 11-20
- Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion
|
| - Virtual check-in.
- Initiated by established pt., furnished by physician/QHP.
- Used when physician/QHP is not sure if patient needs an in person appt.
- 11-20 minutes of medical discussion
- Not originating from a related e/m service provided within the previous 7 days
- Not leading to a service or procedure within the next 24 hours or soonest available appointment
- Consent required
- Can be furnished via WoundReference free, HIPAA compliant TeleVisit Tool Video Chat Edition (allows providers to see the wound, dressing etc).
- Does not require that the patient or non-QHP clinician facilitating the service (requestor) create a WoundReference Free Basic account.
|
98016 (replaces G2012)
| - BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN
- Brief communication technology-based service (eg, virtual check-in) by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related evaluation and management service provided within the previous 7 days nor leading to an evaluation and management service or procedure within the next 24 hours or soonest available appointment, 5-10 minutes of medical discussion
| Patient to provider
| - Virtual check-in.
- Initiated by established pt., furnished by physician/QHP.
- Used when QHP not sure if patient needs an in person appt.
- 5-10 minutes of medical discussion
- Not originating from a related e/m service provided within the previous 7 days
- Not leading to an e/m service or procedure within the next 24 hours or soonest available appointment
- Consent required
- Can be furnished via WoundReference free, HIPAA compliant TeleVisit Tool Video Chat Edition (allows providers to see the wound, dressing etc).
- Does not require that the patient or non-QHP clinician facilitating the service (requestor) create a WoundReference Free Basic account.
|
| 98970 | - NQHP OL DIGITAL ASSMT&MGMT EST PT <7 D 5-10 MIN
- Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes
| Patient to provider | - Initiated by established pt., furnished by nonphysician qualified health care professional
- Patient problem may be new, but the patient is an established patient.
- Patient initiates services through HIPAA-compliant, secure platform that allow digital communication
- 5-10 minutes of medical discussion during a 7 day period.
- 7 day period begins with the personal review of the initial inquiry, review of patient records or data, personal interaction with clinical staff focused on the patient's problem, development of management plans, including generation of prescriptions or ordering of tests, and subsequent communication with the patient through online, telephone, email or other digital communication.
- Not leading to an e/m service or procedure within the next 24 hours or soonest available appointment
- Not originating from a related service provided within the previous 7 days
- Not leading to an e/m service or procedure within the next 24 hours or soonest available appointment
- Consent required
- Can be furnished via WoundReference free, HIPAA compliant TeleVisit Tool Video Chat Edition (allows providers to see the wound, dressing etc). Telephone may also be used
|
| 98971 | - NQHP OL DIGITAL ASSMT&MGMT EST PT <7 D 11-20 MIN
- Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes
| Patient to provider | - Initiated by established pt., furnished by nonphysician qualified health care professional
- Patient problem may be new, but the patient is an established patient.
- Patient initiates services through HIPAA-compliant, secure platform that allow digital communication
- 11-20 minutes of medical discussion during a 7 day period.
- 7 day period begins with the personal review of the initial inquiry, review of patient records or data, personal interaction with clinical staff focused on the patient's problem, development of management plans, including generation of prescriptions or ordering of tests, and subsequent communication with the patient through online, telephone, email or other digital communication.
- Not leading to an e/m service or procedure within the next 24 hours or soonest available appointment
- Not originating from a related service provided within the previous 7 days
- Not leading to an e/m service or procedure within the next 24 hours or soonest available appointment
- Consent required
- Can be furnished via WoundReference free, HIPAA compliant TeleVisit Tool Video Chat Edition (allows providers to see the wound, dressing etc). Telephone may also be used
|
| 98972 | - NQHP OL DIGITAL ASSMT&MGMT EST PT <7 D 21+ MIN
- Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes
| Patient to provider | - Initiated by established pt., furnished by nonphysician qualified health care professional
- Patient problem may be new, but the patient is an established patient.
- Patient initiates services through HIPAA-compliant, secure platform that allow digital communication
- 21+ minutes of medical discussion during a 7 day period.
- 7 day period begins with the personal review of the initial inquiry, review of patient records or data, personal interaction with clinical staff focused on the patient's problem, development of management plans, including generation of prescriptions or ordering of tests, and subsequent communication with the patient through online, telephone, email or other digital communication.
- Not leading to an e/m service or procedure within the next 24 hours or soonest available appointment
- Not originating from a related service provided within the previous 7 days
- Not leading to an e/m service or procedure within the next 24 hours or soonest available appointment
- Consent required
- Can be furnished via WoundReference free, HIPAA compliant TeleVisit Tool Video Chat Edition (allows providers to see the wound, dressing etc). Telephone may also be used
|
99421
| - ONLINE DIGITAL E/M SVC EST PT <7 D 5-10 MINUTES
- Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes
| Patient to provider
| - Initiated by established pt., furnished by QHP. Encounter must be documented on a HIPAA compliant platform
- Requires E/M of the pt.
- Time based service, 5-10 min. Reported once for the QHP’s cumulative time devoted to the service during a 7 day period.
|
| 99422 | - ONLINE DIGITAL E/M SVC EST PT <7 D 11-20 MINUTES
- Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes
| Patient to provider
| - Initiated by established pt., furnished by QHP. Encounter must be documented on a HIPAA compliant platform
- Requires E/M of the pt.
- Time based service, 11-20 min. Reported once for the QHP’s cumulative time devoted to the service during a 7 day period.
|
| 99423 | - ONLINE DIGITAL E/M SVC EST PT <7 D 21+ MINUTES
- Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes
| Patient to provider
| - Initiated by established pt., furnished by QHP. Encounter must be documented on a HIPAA compliant platform
- Requires E/M of the pt.
- Time based service, > 21 min. Reported once for the QHP’s cumulative time devoted to the service during a 7 day period.
|
| 99202 | - OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES
- Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.
| Patient to provider (CMS Telehealth)
| - Geographical and care setting restrictions may apply. See CMS MLN Booklet [1]
- QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient
- Store and forward allowed in AK and HI
|
| 99203 | - OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES
- Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
| Patient to provider (CMS Telehealth)
| - Geographical and care setting restrictions may apply. See CMS MLN Booklet [1]
- QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient
- Store and forward allowed in AK and HI
|
| 99204 | - OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES
- Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.
| Patient to provider (CMS Telehealth)
| - Geographical and care setting restrictions may apply. See CMS MLN Booklet [1]
- QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient
- Store and forward allowed in AK and HI
|
| 99205 | - OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES
- Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.
| Patient to provider (CMS Telehealth)
| - Geographical and care setting restrictions may apply. See CMS MLN Booklet [1]
- QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient
- Store and forward allowed in AK and HI
|
| 99211 | - OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP
- Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional
| Patient to provider (CMS Telehealth)
| - Geographical and care setting restrictions may apply. See CMS MLN Booklet [1]
- QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient
- Store and forward allowed in AK and HI
|
| 99212 | - OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN
- Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.
| Patient to provider (CMS Telehealth)
| - Geographical and care setting restrictions may apply. See CMS MLN Booklet [1]
- QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient
- Store and forward allowed in AK and HI
|
| 99213 | - OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN
- Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.
| Patient to provider (CMS Telehealth)
| - Geographical and care setting restrictions may apply. See CMS MLN Booklet [1]
- QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient
- Store and forward allowed in AK and HI
|
| 99214 | - OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN
- Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
| Patient to provider (CMS Telehealth)
| - Geographical and care setting restrictions may apply. See CMS MLN Booklet [1]
- QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient
- Store and forward allowed in AK and HI
|
| 99215 | - OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN
- Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.
| Patient to provider (CMS Telehealth)
| - Geographical and care setting restrictions may apply. See CMS MLN Booklet [1]
- QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient
- Store and forward allowed in AK and HI
|
99304
| - INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN
- Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.
| CMS Telehealth - Initial Nursing Facility Care
| - CMS flexibilities to fight COVID-19 [2]
- Initial Nursing Facility Care/Day 25 minutes
|
99305
| - INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES
- Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.
| CMS Telehealth - Initial Nursing Facility Care
| - CMS flexibilities to fight COVID-19 [2]
- Initial Nursing Facility Care/Day 35 minute
|
99306
| - INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES
- Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded.
| CMS Telehealth - Initial Nursing Facility Care
| - CMS flexibilities to fight COVID-19 [2]
- Initial Nursing Facility Care/Day 45 minute
|
| 99307 | - SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES
- Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.
| CMS Telehealth - Subsequent Nursing Facility Care
| - Geographical and care setting restrictions may apply. See CMS MLN Booklet [1]
- Subsequent nursing facility care/day E/M stable 10 min
|
| 99308 | - SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES
- Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.
| CMS Telehealth - Subsequent Nursing Facility Care
| - Geographical and care setting restrictions may apply. See CMS MLN Booklet [1]
- Subsequent nursing facility care/day minor complication 15 min
|
| 99309 | - SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES
- Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
| CMS Telehealth - Subsequent Nursing Facility Care
| - Geographical and care setting restrictions may apply. See CMS MLN Booklet [1]
- Subsequent nursing facility care/day new problem 25 min
|
| 99310 | - SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES
- Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.
| CMS Telehealth - Subsequent Nursing Facility Care
| - Geographical and care setting restrictions may apply. See CMS MLN Booklet [1]
- Subsequent nursing facility care/day unstable/new prob 35 min
|
99315
| - NURSING FACILITY DSCHRG MGMT 30 MIN/< TOT TIME
- Nursing facility discharge management; 30 minutes or less total time on the date of the encounter
| CMS Telehealth - Nursing facility discharge day management
| - CMS flexibilities to fight COVID-19 [2]
- Nursing facility discharge day management; 30 minutes or less
|
99316
| - NURSING FACILITY DSCHRG MGMT 30 MIN+ TOT TIME
- Nursing facility discharge management; more than 30 minutes total time on the date of the encounter
| CMS Telehealth - Nursing facility discharge day management
| - CMS flexibilities to fight COVID-19 [2]
- Nursing facility discharge day management; more than 30 minutes
|
99341
| - HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES
- Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.
| Home Visits
| - CMS flexibilities to fight COVID-19 [2]
|
99342
| - HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES
- Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
| Home Visits
| - CMS flexibilities to fight COVID-19 [2]
|
99344
| - HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES
- Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.
| Home Visits
| - CMS flexibilities to fight COVID-19 [2]
|
99345
| - HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES
- Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.
| Home Visits
| - CMS flexibilities to fight COVID-19 [2]
|
99347
| - HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES
- Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.
| Home Visits
| - CMS flexibilities to fight COVID-19 [2]
|
99348
| - HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES
- Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
| Home Visits
| - CMS flexibilities to fight COVID-19 [2]
|
99349
| - HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES
- Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.
| Home Visits
| - CMS flexibilities to fight COVID-19 [2]
|
99350
| - HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES
- Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.
| Home Visits
| - CMS flexibilities to fight COVID-19 [2]
|
