This is the big daddy. The 99205 represents the highest level of care for new patients seen in the office. This is the second most popular code used to bill for these encounters among internist who select the 99205 level of care for about 26% of new office patients in 2012. The reimbursement for this level of care is approximately $207 and it is worth 3.17 work RVUs. Usually the problems are of moderate to high severity.
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.