The 99215 represents the highest level of care for established patients being seen in the office. Internists selected the 99215 level of care for only about 9% of established office patients in 2014. The Medicare allowable reimbursement for this level of care is $145.72 and it is worth 2.11 work RVUs. Usually the problems are of moderate to high severity.
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.