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Clinical Examples for 99203


Initial office visit of a 76-years-old male with a stasis ulcer of three months’ duration.  (Dermatology)

Initial office visit for a 30-years-old female with pain in the lateral aspect of the forearm.  (Physical Medicine & Rehabilitation)

Initial office visit for a 15-years-old patient with a four-year history of moderate comedopapular acne of the face, chest, and back with early scarring, Discussion of use of systemic medication.  (Dermatology)

Initial office visit for a patient with papulosquamous eruption of the elbow with pitting of nails and itchy scalp.  (Dermatology)

Initial office visit for a 57-years-old female who complains of painful period swelling of one week’s duration.  (Oral & Maxillofacial Surgery)

Initial office visit for a patient with an ulcerated non-healing lesion or nodule on the tip of the nose.  (Dermatology)

Initial office visit for a patient with dermatitis of the antecubital and popliteal fossae. (Dermatology)

Initial office visit for a 22-years-old female with irregular menses. (Family Medicine)

Initial office visit for a 50-years-old female with dyspepsia and nausea. (Family Medicine)

Initial office visit for a 53-years-old laborer with degenerative joint disease of the knee with no prior treatment  (Orthopaedic Surgery)

Initial office visit for a 60-years0old male with Dupuytren’s contracture of one hand with multiple digit involvement. (Orthopaedic Surgery)

Initial office visit for a 33-years-old male with painless gross hematuria without cystoscopy. (Internal Medicine)

Initial office visit for a 55-years-old female with chronic blepharitis, There is a history of use of many medicines. (Ophthalmology)

Initial office visit for an 18-years-old female with a two-day history of acute conjunctivitis, Extensive history of possible exposures, prior normal ocular history, and medication use is obtained.  (Ophthalmology) 

Initial office visit for a 14-years-old male with unilateral anterior knee pain. (Physical Medicine & Rehabilitation)      

Initial office visit of an adult who presents with symptoms of an upper-respiratory infection that has progressed to unilateral purulent nasal discharge and discomfort in the right maxillary teeth. (Otolaryngology/head & Neck Surgery)

Initial office visit of a 40-years-old female with symptoms of atopic allergies including eye and sinus congestion, often associated with infections. She would like to be tested for allergies.  (Otolaryngology/Head & neck Surgery)

Initial office visit of a 65-years-old with nasal stuffiness. (Otolarygology/Head & Neck Surgery)

Initial office visit for initial evaluation of a 48-years-old man with recurrent low back pain radiating to the leg. (General Surgery)

Initial office visit for evaluation, diagnosis, and management of painless hematuria in a new patient, without cystoscopy. (Internal Medicine)

Initial office visit with couple for counseling concerning voluntary vasectomy for sterility, Spent 30 minutes discussing procedure, risks and benefits, and answering questions. (Urology)

Initial office visit of a 49-years-old male with nasal obstruction, Detailed exam with topical anesthesia. (Plastic Surgery)

Initial office visit for evaluation of a 13-years-old female with progressive scoliosis. (Physical Medicine & Rehabilitation)

Initial office visit for a 21-years-old female desiring counseling and evaluation of initiation of contraception. (Family Practice/Internal Medicine/Obstetrics & Gynecology)

Initial office visit for a 49-years-old male presenting with painless blood per rectum associated with bowel movement. (Colon & Rectal Surgery)

Initial office visit for a 19-years-old football player with three-day-old acute knee injury; now with swelling and pain. (Orthopaedic Surgery) 

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