Question

How would you identify the CPT code that is Medicare-compliant for billing

Answer 1

The CPT for a new patient office consultation Medicare-compliant billing that was formerly reported with E/M 99242 ranges from 99201-99205

Explanation:

During this outpatient office visit, a detailed patient history and examination is done, counseling with other healthcare providers provided if needed, and medical decision making done as per the condition, all of which takes around 30 minutes. Depending upon the complexity of the patient’s presenting complaint or condition, the codes and modifiers are chosen for billing. For example, if the presenting complaint is of moderate severity, then the CPT code is 99203.