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ALL MEDICAL CODES IN CATEGORY Office or Other Outpatient Services
2025 CPT code 99215
Office or other outpatient visit for an established patient; requires medically appropriate history and/or examination and high-level medical decision-making; when using total time, 40 minutes must be met or exceeded.
2025 CPT code 99211
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional.
2025 CPT code 99213
Established patient office or other outpatient visit, requiring a medically appropriate history and/or examination and low level of medical decision making. Total time on the date of encounter must be 20 minutes or more.
2025 CPT code 99203
Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
2025 CPT code 99205
New patient office or outpatient visit with high-level medical decision making (MDM) or at least 60 minutes of total time spent on the date of the encounter.
2025 CPT code 99202
Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.
2025 CPT code 99212
Office or outpatient visit for an established patient with straightforward medical decision-making; total time on the encounter date must be 10 minutes or more.
2025 CPT code 99214
Office or outpatient visit for an established patient; requires medically appropriate history and/or examination and moderate medical decision-making; 30 minutes or more of total time spent on the encounter date.
2025 CPT code 99204
Office or outpatient visit for a new patient; requires medically appropriate history and/or examination and moderate medical decision-making; total time on the encounter date must be at least 45 minutes.
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