This is the big daddy. The 99205 represents the highest level of care for new patients seen in the office. This is the third most popular code used to bill for these encounters among internist who select the 99205 level of care for only 21% of new office patients. The reimbursement for this level of care is approximately $197, which is pretty good. Usually the problems are of moderate to high severity. You are most likely not using this level of care enough (i.e., you are probably under-coding--take the web-course below to see why).
The documentation for this encounter requires THREE out of THREE of the following :
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Now that the consult codes have been eliminated for Medicare patients, the new office patient visit has become the most common outpatient initial encounter. Learn exactly what needs to be documented for each level of care for these visits. All levels of care are discussed.