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CPT 99204

Office Visit - New Patient - Moderate Complexity

45 minutes
2.60 work RVU
2 requirements

Documentation Requirements

  1. 1Comprehensive new patient history
  2. 2Multiple problem assessment

Billing Tips

  • •Common for specialty consultations
  • •Document all chronic conditions addressed
  • •Time-based: 45-59 total minutes

Frequently Asked Questions

Is 99204 common for specialists?

Yes, 99204 is frequently used for specialty consultations where patients present with multiple chronic conditions requiring moderate complexity decision making.

Automate New Patient Level 4 Documentation

Scribeable captures all required elements for CPT 99204 from your patient conversation. Generate compliant notes from the conversation itself.

Common Diagnoses

I10E11.65K21.0M54.5

Related Specialties

internal medicinecardiologyendocrinologygastroenterology

Related Procedures

CPT 992131.30 work RVU

Office Visit Level 3

CPT 992141.92 work RVU

Office Visit Level 4

CPT 992152.80 work RVU

Office Visit Level 5

CPT 992031.60 work RVU

New Patient Level 3

CPT 99204: Office Visit - New Patient - Moderate Complexity

Documentation Requirements

  1. Comprehensive new patient history
  2. Multiple problem assessment

Billing Tips

  • Common for specialty consultations
  • Document all chronic conditions addressed
  • Time-based: 45-59 total minutes

Frequently Asked Questions

Is 99204 common for specialists?

Yes, 99204 is frequently used for specialty consultations where patients present with multiple chronic conditions requiring moderate complexity decision making.

Related Procedures

  • CPT 99213: Office Visit Level 3
  • CPT 99214: Office Visit Level 4
  • CPT 99215: Office Visit Level 5
  • CPT 99203: New Patient Level 3

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Compliant

SOC 2

Controls Implemented

BAA

Included

AES-256

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