cpt 99203, cpt code 99203, 99203 cpt code

CPT 99203 | Outpatient E/M For New Patient (30-44 Minutes

CPT 99203 describes an office or outpatient visit for a new patient in which the healthcare provider evaluates and manages the patient’s needs, including reviewing medical records, conducting an evaluation, and coordinating care, and takes between 30-44 minutes on the date of the visit, with a low level of medical decision-making required.

What Is CPT Code 99203?

CPT code 99203 refers to an office or outpatient visit for a new patient, during which the healthcare provider evaluates and manages the patient’s needs.

CPT 99203 can be used when the patient’s medical history and examination and the level of medical decision-making required are considered medically appropriate and low in complexity.

The encounter, which may include reviewing medical records, conducting an evaluation, ordering tests or procedures, and coordinating care, takes between 30-44 minutes on the date of the visit.

The provider may also complete the patient history and physical examination as needed.

CPT code 99203 indicates that the provider will consider a limited number and complexity of problems, a fixed amount and complexity of data, and a low risk of complications, morbidity, and mortality in determining the appropriate treatment plan for the patient.

Description

The CPT book describes CPT code 99203 as: “Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of the total time is spent on the date of the encounter.”

Procedure

The provider performs an evaluation and management service for a new patient at an outpatient facility.

CPT 99203 includes various activities necessary for comprehensively evaluating and managing the patient’s healthcare needs.

These activities may include reviewing tests and other medical records, preparing for the patient visit, conducting the evaluation, counseling the patient or caregiver, ordering tests or procedures as needed, communicating with other healthcare providers to ensure coordinated care, documenting the encounter in the medical record, interpreting and communicating test results, and coordinating care.

The service takes 30-44 minutes on the encounter date and involves a low level of medical decision-making.

This means that the provider will need to consider a limited number and complexity of problems, a limited amount and complexity of data to review and analyze, and a limited risk of complications, morbidity, and mortality in determining the appropriate course of treatment for the patient.

The provider may also conduct a patient history and physical examination as necessary, taking into account the nature and extent of these components as determined by the provider.

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