Claim Codes
New Patient
99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components:
Counseling and /or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient’s and /or family’s needs.
Usually, the presenting problems are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and /or family.
99202 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components:
Counseling and /or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient’s and /or needs.
Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 20 minutes face-to-face with the patient and /or family.
99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components:
Counseling and /or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient’s and /or family’ needs.
Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 30 minutes face-to-face with the patient and /or family.
99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components:
99205 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components:
99211 Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.
99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components:
99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two to these three key components:
Counseling and coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient’s and /or family’s needs.
Usually, the presenting problem(s) are of two to moderate severity. Physicians typically spend 15 minutes face-to-face with the patient and /or family.
99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components:
Counseling and /or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient’s and /or family’s needs.
Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 25 minutes face-to-face with the patient and /or family.
99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components:
Counseling and /or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient’s and /or family needs.
Usually the presenting problem(s) are the moderate to high severity. Physicians typically spend 40 minutes face-to-face with the patient and /or family.
97810 Acupuncture, one or more needles, without electrical stimulation; initial 15 minutes of personal one-on-one contact with the patient.
97811 Acupuncture, one or more needles, without electrical stimulation; each additional 15 minutes of personal one-on-one contact with the patient (List separately in addition to code for primary procedure).
97813 Acupuncture, one or more needles, with electrical stimulation; initial 15 minutes of personal one-on-one contact with the patient.
97814 Acupuncture, one or more needles, with electrical stimulation; each additional 15 minutes of personal one-on-one contact with the patient (List separately in addition to code for primary procedure).