I believe 99201 is for a new patient, and 99212 is for an established patient.
99201
99201
99212 99213 99214
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.
99201
code is CPT E/M office or other outpatient service; new patient 99201 office or other outpatient visit 3 components a problem focused history a problem focuses exam straightforward medical decision making
ICD9 code is the diagnosis code and a CPT is the procedure code
Office/outpatient E & M of established patient, requiring 2 of 3 components: problem focused history/examination/straightforward decision making
99211, 99212, 99213, 99214, or 99215
The CPT code for evaluation and management of deltoid muscle pain and swelling would typically fall under an office or outpatient visit code, such as CPT code 99202-99205 for new patient visits or 99212-99215 for established patient visits, depending on the complexity of the evaluation and management provided by the healthcare provider.
CPT Code 99201 - Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components:A problem focused history;A problem focused examination; andStraightforward medical decision making.Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs.Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family.
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