CPT E&M

  1. 99201
    • 3/3
    • New Pt.
    • Office Visit


    • H-problem focused
    • E-problem focused
    • M-straightforward complexity
  2. 99202
    • 3/3
    • New Pt.
    • Office Visit


    • H-expanded problem focused
    • E-expanded problem focused
    • M-straightforward complexity
  3. 99203
    • 3/3
    • New Pt.
    • Office Visit


    • H-detailed
    • E-detailed
    • M-low complexity
  4. 99204
    • 3/3
    • New Pt.
    • Office Visit


    • H-comprehensive
    • E-comprehensive
    • M-moderate complexity
  5. 99205
    • 3/3
    • New Pt.
    • Office Visit


    • H-comprehensive
    • E-comprehensive
    • M-high complexity
  6. 99211
    NO Doctor or other qualified provider

    • Established Pt.
    • Office Visit


    Typically 5 minutes or less
  7. 99212
    • 2/3
    • Established Pt.
    • Office Visit


    • H-problem focused
    • E-problem focused
    • M-straightforward complexity
  8. 99213
    • 2/3
    • Established Pt.
    • Office Visit


    • H-expanded problem focused
    • E-expanded problem focused
    • M-low complexity
  9. 99214
    • 2/3
    • Established Pt.
    • Office Visit


    • H-detailed
    • E-detailed
    • M-moderate complexity
  10. 99215
    • 2/3
    • Established Pt.
    • Office Visit


    • H-comprehensive
    • E-comprehensive
    • M-high complexity
  11. 99241
    • 3/3
    • New or Established Pt.
    • Office / Outpatient Consult


    • H-problem focused
    • E-problem focused
    • M-straightforward complexity

    • 15 minutes
    • Presenting Problem: self-limited or minor
  12. 99242
    • 3/3
    • New or Established Pt.
    • Office / Outpatient Consult


    • H-expanded focused
    • E-expanded focused
    • M-straightforward complexity

    • 30 minutes
    • Presenting Problem: low severity
  13. 99243
    • 3/3
    • New or Established Pt.
    • Office / Outpatient Consult


    • H-detailed
    • E-detailed
    • M-low complexity

    • 40 minutes
    • Presenting Problem: moderate severity
  14. 99244
    • 3/3
    • New or Established Pt.
    • Office / Outpatient Consult


    • H-comprehensive
    • E-comprehensive
    • M-moderate complexity

    • 60 minutes
    • Presenting Problem: moderate to high severity
  15. 99245
    • 3/3
    • New or Established Pt.
    • Office / Outpatient Consult


    • H-comprehensive
    • E-comprehensive
    • M-high complexity

    • 80 minutes
    • Presenting Problem: moderate to high severity
  16. 99251
    • 3/3
    • New or Established Pt.
    • Inpatient Consult


    • H-problem focused
    • E-problem focused
    • M-straightforward complexity

    • 20 minutes
    • Presenting Problem: self-limited, minor
  17. 99252
    • 3/3
    • New or Established Pt.
    • Inpatient Consult


    • H-expanded problem focused
    • E-expanded problem focused
    • M-straightforward complexity

    • 40 minutes
    • Presenting Problem: low severity
  18. 99253
    • 3/3
    • New or Established Pt.
    • Inpatient Consult


    • H-detailed
    • E-detailed
    • M-low complexity

    • 55 minutes
    • Presenting Problem: moderate severity
  19. 99254
    • 3/3
    • New or Established Pt.
    • Inpatient Consult


    • H-comprehensive
    • E-comprehensive
    • M-moderate complexity

    • 80 minutes
    • Presenting Problem: moderate to high severity
  20. 99255
    • 3/3
    • New or Established Pt.
    • Inpatient Consult


    • H-comprehensive
    • E-comprehensive
    • M-high complexity

    • 110 minutes
    • Presenting Problem: moderate to high severity
  21. G0102
    Prostate Exam
  22. G0101
    Pelvic / Breast Exam
  23. Q0091
    Pap Smear
Author
Anonymous
ID
332630
Card Set
CPT E&M
Description
Brief description of various CPT E&M levels, not all levels are included.
Updated