What does CPT code 99212 mean?
What does CPT code 99212 mean?
evaluation and management
99212 CPT Code: 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.
What level is 99212?
level two
CPT Code 99212 is a level two code. It must be billed with an established patient, not as a new patient visit of any form. The visit should be conducted in an outpatient atmosphere or as an in-office visit.
What is the difference between CPT code 99211 and 99212?
Unlike other office visit E/M codes – such as 99212, which requires at least two of three key components (problem-focused history, problem-focused examination and straightforward medical decision making) – the documentation of a 99211 visit does not have any specific key-component requirements.
What is the reimbursement for 99212?
$46.13
Procedure Code 99212 Reimbursement Rates – Medicare
| CPT Code | Service Time | Rate |
|---|---|---|
| 99212 | 10 minutes | $46.13 |
| 99213 | 15 minutes | $68.10 |
| 99214 | 25 minutes | $110.43 |
| 99215 | 40 minutes | $148.33 |
Does 99212 need a modifier?
Remember, the 25 modifier is added to the E/M code (99201-99205, 99212-99215), not the CMT code (98940-98943) and BOTH must be performed during the same visit. If only an E/M service is billed, the 25 modifier is not required.
Can nurses Bill 99212?
absolutely not. E&M levels are always provider levels (physician, NP, PA), the 99211 is referred to as a “nurse” level but truely it is not.
How many minutes is 99212?
Time
| CPT Code | Total Time |
|---|---|
| 99212 | 10-19 mins |
| 99213 | 20-29 mins |
| 99214 | 30-39 mins |
| 99215 | 40-54 mins |
Does CPT code 99212 need a modifier?
Where is the place of service for CPT 99212?
Established Patient Office
CPT® 99212, Under Established Patient Office or Other Outpatient Services. The Current Procedural Terminology (CPT®) code 99212 as maintained by American Medical Association, is a medical procedural code under the range – Established Patient Office or Other Outpatient Services.
