What does code 99202 mean?
99202. Office or other outpatient visit for the evaluation and management of a new. patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making.
Is CPT 99202 a valid code?
Answer: The revised definitions for codes 99202—99215 are effective until January 1 2021. These new definitions are now in the 2021 CPT® book. CMS and the AMA have joined hands (figuratively speaking) in these new definitions for new and established outpatient services.
What is a time based code?
Under time-based coding, more than half of the face-to-face time (in the office or other outpatient setting) or more than half of the floor/unit time (in the hospital or nursing facility) must be spent on counseling or coordinating care.
Does CPT code 99202 need a modifier?
For example, you would not apply modifier 25 to each 99202 CPT code. However, if you saw a new patient, completed the services rendered as appropriate to bill a 99202 E&M, and performed an injection on the same day, you would apply a 25 modifier on the new patient E&M service.
What is E & M coding?
Evaluation and Management coding is a medical coding process in support of medical billing. Practicing health care providers in the United States must use E/M coding to be reimbursed by Medicare, Medicaid programs, or private insurance for patient encounters.
How long is a 99202 visit?
99202 CPT Code: 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 time for code selection, 15-29 minutes of the total time is spent on the date of the encounter.
Can you bill cardioversion with critical care?
CPT code 92960 describes a planned elective procedure. If a planned elective external cardioversion is performed by a provider/supplier reporting critical care time (CPT codes 99291, 99292), the time to perform the elective external cardioversion shall not be included in the critical care time.