Tag: CPT Code 99204

CPT Code 99204

CPT Code 99204: New Patient E/M Billing Guide

Among the numerous Evaluation and Management (E/M) codes, 99204CPT Code holds particular significance for healthcare providers seeing new patients in an office or outpatient setting. Proper use of this code ensures appropriate reimbursement for moderately complex services that require comprehensive documentation and clinical decision-making. This article provides a comprehensive overview of CPT 99204—its definition, time […]
CMS Releases PCS Codes Final Rule

Medical/Legal Impact of 2021 E&M Changes

Without detailed documentation, providers may face an uphill battle in defending themselves from quality audits and even malpractice issues. Up until 2021, at least for the prior two decades, coders and clinicians relied upon the established Evaluation and Management (E&M) guidelines to determine which E&M code was appropriate for each specific encounter. The 1995 guidelines […]