CPT Codes For New Or Established Patient Office Or Other Outpatient Consultation Services

Below is a list summarizing the CPT codes for new or established patient office or other outpatient consultation services.

CPT Code 99242

CPT 99242 describes an office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision-making, with a total time on the encounter date of at least 20 minutes.

CPT Code 99243

CPT 99243 describes an office or other outpatient consultation for a new or established patient, requiring a medically appropriate history and/or examination and a low level of medical decision-making, with a total time on the encounter date of at least 30 minutes.

CPT Code 99244

CPT 99244 describes an office or other outpatient consultation for a new or established patient requiring a medically appropriate history and/or examination and a moderate level of medical decision-making, with a total time on the encounter date of at least 40 minutes.

CPT Code 99245

CPT 99245 describes an office or other outpatient consultation for a new or established patient, requiring a medically appropriate history and/or examination and a high level of medical decision-making, with a total time on the encounter date of at least 55 minutes.

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