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HomeProceduresCPT 99214
CPT 99214

Office Visit - Established Patient - Moderate Complexity

25-30 minutes
1.92 work RVU
3 requirements

Documentation Requirements

  1. 1Chief complaint and detailed HPI
  2. 2Problem-focused assessment and management
  3. 3Moderate risk treatment or data complexity

Billing Tips

  • •Independent interpretation of diagnostic data supports moderate MDM
  • •Time-based: 30-39 total minutes on encounter date

Frequently Asked Questions

What MDM elements support 99214?

Moderate MDM requires 2 of 3: multiple chronic conditions, moderate data complexity (independent interpretation, review of prior records), OR moderate risk treatment (prescription drugs, minor surgery with risk factors).

How does Scribeable help with 99214 documentation?

Scribeable identifies elements supporting moderate MDM from your conversation—chronic conditions discussed, data reviewed, medications prescribed—and ensures complete documentation for proper billing.

Automate Office Visit Level 4 Documentation

Scribeable captures all required elements for CPT 99214 from your patient conversation. Generate compliant notes from the conversation itself.

Common Diagnoses

I10E11.65J44.1F32.1

Related Specialties

primary careinternal medicinecardiologyneurology

Related Procedures

CPT 992131.30 work RVU

Office Visit Level 3

CPT 992152.80 work RVU

Office Visit Level 5

CPT 992031.60 work RVU

New Patient Level 3

CPT 992042.60 work RVU

New Patient Level 4

CPT 99214: Office Visit - Established Patient - Moderate Complexity

Documentation Requirements

  1. Chief complaint and detailed HPI
  2. Problem-focused assessment and management
  3. Moderate risk treatment or data complexity

Billing Tips

  • Independent interpretation of diagnostic data supports moderate MDM
  • Time-based: 30-39 total minutes on encounter date

Frequently Asked Questions

What MDM elements support 99214?

Moderate MDM requires 2 of 3: multiple chronic conditions, moderate data complexity (independent interpretation, review of prior records), OR moderate risk treatment (prescription drugs, minor surgery with risk factors).

How does Scribeable help with 99214 documentation?

Scribeable identifies elements supporting moderate MDM from your conversation—chronic conditions discussed, data reviewed, medications prescribed—and ensures complete documentation for proper billing.

Related Procedures

  • CPT 99213: Office Visit Level 3
  • CPT 99215: Office Visit Level 5
  • CPT 99203: New Patient Level 3
  • CPT 99204: New Patient Level 4

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