This is the lowest level of care for established patients in the office. Internists use this code for only 4.9% of these encounters. Usually the presenting problems are minimal. This E/M code is unique in that it is the only one which does NOT REQUIRE THE PRESENCE OF THE PHYSICIAN (Nice!). There are no specific documentation requirements, but the purpose of the visit should be recorded (For more details, take the web course below.) The reimbursement for this level of care is approximately $19.
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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.