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Office/outpatient E & M of established patient, requiring 2 of 3 components: problem focused history/examination/straightforward decision making

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What is medical code 99212?

99212 is a CPT code for: Office or other outpatient visit for the evaluation and management of an established patient with a problem focused history and examination, and straightforward medical decision making.


What does medical service code 99212 stand for?

This is the code used by providers to identify an Established Patient Visit with a problem-focused where the medical decision making was straightforward and the average face-to-face time was approximately 10 minutes.


Can a medical assistant visit be billed as a 99212?

A medical assistant visit cannot be billed as a 99212, which is a code for an established patient office visit that requires a physician's or qualified healthcare provider's evaluation and management. Medical assistants typically do not perform the level of service that qualifies for this billing code, as it requires a physician's decision-making and clinical judgment. Only the provider who performs the evaluation can bill for the 99212 code.


What is the difference in cpt code 99201 and 99212?

I believe 99201 is for a new patient, and 99212 is for an established patient.


What is the CPT code for initial examination?

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