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  LEVEL 5 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 5 Established Office Visit (99215)

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 4.86% of established office patients in 2019.  The Medicare allowable reimbursement for this level of care is $183.19 and it is worth 2.8 work RVUs. This level of care requires high complexity MDM or a total of 40 - 54 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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