CPT 99204: Office Visit - New Patient - Moderate Complexity
New patient office visit with moderate level of medical decision making.
Documentation Requirements
- Comprehensive new patient history
- Moderate complexity medical decision making OR 45-59 minutes total time
- 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.