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ESTABLISHED OFFICE PATIENTS
 

 
Established Office Patients (99211-99215)

These codes are used to bill for established patients being seen in the office. An established patient is defined as someone who has been seen by you or a physician in the same specialty in your group within the previous three years. There are five levels of care for this type of encounter which all require documentation of TWO out of THREE key components. The fact that only two out of three key components are needed means that you can save a considerable amount of time by streamlining your documentation. Most physicians under-code and over-document these visits, which is not good because they are the most common patient encounters on the planet. You can avoid this trap by taking the web-course below.
Level E/M Code History Physical Exam MDM Time
1 99211 None None None 5
2 99212 Problem Focused Problem Focused Straightforward 10
3 99213 EPF EPF Low 15
4 99214 Detailed Detailed Moderate 25
5 99215 Comprehensive Comprehensive High 40

Two out of three key components are required.

Become an expert in documenting these encounters in about 48 minutes by watching the web-course below.

This topic is covered in more detail in of one of our web-based E/M coding courses.
 

Established Office Patients

Established Office Visits   Related Topics
 

 

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These are the most common patient encounters on the planet, so it's important to code correctly for these visits. Knowing the difference between a level 3 and level 4 established office patient can make a huge difference in your remibursement and income.  
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