CPT 99204

Office Visit - New Patient - Moderate Complexity

New patient office visit with moderate level of medical decision making.

45 minutes
2.60 work RVU
3 requirements

Documentation Requirements

  1. 1Comprehensive new patient history
  2. 2Moderate complexity medical decision making OR 45-59 minutes total time
  3. 3Multiple 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 in seconds.

Common Diagnoses

I10E11.65K21.0M54.5

Related Specialties

internal medicinecardiologyendocrinologygastroenterology

Related Procedures

CPT 992131.30 work RVU

Office Visit Level 3

Established patient office visit with low level of medical decision making.

CPT 992141.92 work RVU

Office Visit Level 4

Established patient office visit with moderate level of medical decision making.

CPT 992152.80 work RVU

Office Visit Level 5

Established patient office visit with high level of medical decision making.

CPT 992031.60 work RVU

New Patient Level 3

New patient office visit with low level of medical decision making.

CPT 99204: Office Visit - New Patient - Moderate Complexity

New patient office visit with moderate level of medical decision making.

Documentation Requirements

  1. Comprehensive new patient history
  2. Moderate complexity medical decision making OR 45-59 minutes total time
  3. 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

Specialties

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Clinical Content

Resources

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