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  LEVEL 4 ESTABLISHED
OFFICE PATIENT
 

 

Effective January 1, 2021, there are new guidelines for new and established office visits. For information on the 2021 guidelines, click here.

Level 4 Established Office Visit (99214)

This code represents the second highest level of care for established office patients. This is the most frequently used code for these encounters. Internists selected this level of care for 55.38% of established office patients in 2019. The Medicare allowable reimbursement for this service is $131.20 and it is worth 1.92 work RVUs. This level of care requires moderate complexity MDM or a total of 30 - 39 minutes devoted to the encounter on the date of the visit.

For a detailed exploration of the 2021 guidelines including clinical examples of each level of care for new and established office visits and a deep dive into the new table of medical decision-making, consider signing up for one of our 2021 update courses here.

 
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