Cpt code 99205 is used for a new patient office visit Aua cy 2025 mpfs proposed rule.xlsx In general terms, this is when a patient sees a doctor in the office for the very first time
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But it’s not just any visit, it’s a visit that involves a lot of work.
Learn how to bill cpt code 99205 for evaluation and management services with a new patient
Discover reimbursement rates for 99205. Accurate documentation and code selection are essential for maximizing reimbursement with cpt code 99205. What is the 99205 cpt code The 99205 cpt code is a billing code used to represent an initial comprehensive evaluation and management service provided by a physician or other medical professional.
Subscribe to codify by aapc and get the code details in a flash The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management The visit involves a high level of medical decision making, and/or the provider spends 60 or more minutes of total time on the encounter on a single date. 1, 2024, office or other outpatient e/m code descriptions specify a single time to meet/exceed instead of a time range for the encounter
See the chart below for revised times:
