2022 | CPT 99242 – CPT 99245 (Office or Other Outpatient Consultation Services)

New or Established Patient Office or Other Outpatient Consultation Services CPT Codes

Be aware that the code descriptions below were revised on 01-01-2023. We will update them soon.

CPT 99242 Description: A medical provider requests a consultation from another provider. To report CPT 99242 correctly, three key components must be met.

The three key components are in addition to the medical necessity for performing the procedures when selecting an Evaluation and Management service level for an office consultation.

CPT 99243 Description: A medical provider requests a consultation from another provider.

To report CPT 99243 correctly, three key components must be met. The three key components are in addition to the medical necessity for performing the procedures when selecting an Evaluation and Management service level for an office consultation.

CPT 99244 Description: A medical provider requests a consultation from another provider.

To report CPT 99244 correctly, three key components must be met. The three key components are in addition to the medical necessity for performing the procedures when selecting an Evaluation and Management service level for an office consultation.

CPT 99245 Description: A medical provider requests a consultation from another provider.

To report CPT 99245 correctly, three key components must be met. The three key components are in addition to the medical necessity for performing the procedures when selecting an Evaluation and Management service level for an office consultation.

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