What is CPT Code 99214 and When is it Used?

CPT Code 99214 refers to an established patient office visit where the consultation time ranges between 30-39 minutes. This code is typically used for moderate complexity visits, and understanding when and how to use it can help ensure accurate billing and reimbursement.

Key Aspects of CPT Code 99214:
Time-Based: The office visit lasts between 30 to 39 minutes with the physician or healthcare provider.
Moderate Complexity: The visit typically involves a detailed assessment of the patient's medical history, a review of the current condition, and the development or adjustment of treatment plans.
Documentation is Key: To bill for CPT 99214 correctly, detailed notes must be made, including the history, examination findings, and medical decision-making involved during the visit.
Why Does This Matter?
Correctly applying CPT codes like 99214 ensures that healthcare providers are reimbursed appropriately for their time and expertise. It’s essential for maintaining proper billing practices and avoiding claim denials.

Would you like to know more about CPT codes or have any questions on medical billing? Feel free to ask!

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