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CPT code 99242 refers to an office or other outpatient visit for a new patient, typically requiring a problem-focused examination and medical decision-making of low complexity. This visit usually involves a time commitment of 15-29 minutes spent with the patient. It is one of the codes used to bill for evaluation and management services provided to patients in a healthcare setting.
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Is Medicaid denying cpt 99242?
The remittance advice (RA) should indicate the reason for the denial.
What are medical codes 99242?
Medical code 99242 is part of the Current Procedural Terminology (CPT) coding system, specifically used for billing in outpatient settings. It designates an office or other outpatient visit for an established patient, typically involving a low-level complexity evaluation and management service. This code indicates that the visit requires a problem-focused history, examination, and straightforward medical decision-making. The visit usually lasts around 15-29 minutes.
What modifier should you use if the physician bill cpt code 99213 with cpt code 96372 cpt code j3301 cpt 94640 cpt code 87880?
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