This level of care is located “in the middle’ of the coding spectrum for office visits with established patients. The 99213 is the second most popular choice for internists who select this level of care for about 35% of these encounters in 2012. Usually the presenting problems are of low to moderate severity. The reimbursement for this level of care is approximately $73 and is worth 0.97 work RVUs
The documentation for this encounter requires TWO out of THREE of the following:
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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.