Data Updated for Q4 2018
CPT Code: 99305
Description: Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the problem(s) requiring admission are of moderate severity. Typically, 35 minutes are spent at the bedside and on the patient’s facility floor or unit.
Status Code
A
Active Code. These codes are paid separately under the physician fee schedule, if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a nation
Global Days
XXX
The global concept does not apply to the code.
Medicare RUVs and Fees
Work RVU – 2.35
Malpractice RVU – 0.15
Facility RVU – 1.19
Non-Facility RVU – 1.19
Facility Total RVU – 3.69
Non-Facility Total RVU – 3.69
Medicare National Facility Total Payment – $132.84
Medicare National Non-Facility Total Payment – $132.84
Bundling Information
Includes
0115T, 0116T, 0359T, 0360T, 0361T, 0362T, 0363T, 0364T, 0365T, 0366T, 0367T, 0368T, 0369T, 0370T, 0371T, 0372T, 0373T, 0374T, 0469T, 36591, 36592, 43752, 78730, 80500, 80502, 90760, 90765, 90769, 90772, 90773, 90774, 90862, 90863, 90940, 92002, 92004, 92012, 92014, 92227, 92228, 92531, 92532, 93040, 93041, 93042, 93792, 93793, 94002, 94003, 94004, 94644, 94656, 94657, 94660, 94660, 94662, 94662, 95831, 95832, 95833, 95834, 95851, 95852, 96020, 96101, 96102, 96103, 96105, 96116, 96118, 96119, 96120, 96125, 96127, 96150, 96151, 96152, 96153, 96154, 96360, 96365, 96369, 96372, 96373, 96374, 96377, 96401, 96402, 96405, 96406, 96409, 96413, 96416, 96420, 96422, 96425, 96440, 96445, 96446, 96450, 96523, 97802, 97803, 97804, 99172, 99173, 99174, 99177, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99218, 99219, 99220, 99221, 99222, 99223, 99224, 99225, 99226, 99231, 99232, 99233, 99241, 99242, 99243, 99244, 99245, 99251, 99252, 99253, 99254, 99255, 99281, 99282, 99283, 99284, 99285, 99291, 99293, 99294, 99295, 99296, 99298, 99299, 99300, 99307, 99308, 99309, 99310, 99315, 99316, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99354, 99355, 99356, 99357, 99358, 99359, 99363, 99364, 99408, 99409, 99415, 99416, 99431, 99432, 99433, 99436, 99440, 99446, 99447, 99448, 99449, 99455, 99456, 99483, 99497, 99605, 99606, G0102, G0117, G0118, G0245, G0246, G0248, G0250, G0270, G0271, G0380, G0381, G0382, G0383, G0384, G0396, G0397, G0406, G0407, G0408, G0424, G0425, G0426, G0427, G0442, G0443, G0444, G0445, G0446, G0447, G0459, G0463, G0473, G0498, G0505, G0508, G0509, M0064
Included In
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11462, 11463, 11470, 11471, 11600, 11601, 11602, 11603, 11604, 11606, 11620, 11621, 11622, 11623, 11624, 11626, 11640, 11641, 11642, 11643, 11644, 11646, 11720, 11721, 11730, 11740, 11750, 11752, 11755, 11760, 11762, 11765, 11770, 11771, 11772, 11900, 11901, 11920, 11921, 11950, 11951, 11952, 11954, 11960, 11970, 11971, 11976, 11980, 12001, 12002, 12004, 12005, 12006, 12007, 12011, 12013, 12014, 12015, 12016, 12017, 12018, 12020, 12021, 12031, 12032, 12034, 12035, 12036, 12037, 12041, 12042, 12044, 12045, 12046, 12047, 12051, 12052, 12053, 12054, 12055, 12056, 12057, 13100, 13101, 13120, 13121, 13131, 13132, 13150, 13151, 13152, 13160, 14000, 14001, 14020, 14021, 14040, 14041, 14060, 14061, 14301, 14350, 15002, 15004, 15040, 15050, 15100, 15110, 15115, 15120, 15130, 15135, 15150, 15155, 15200, 15220, 15240, 15260, 15271, 15273, 15275, 15277, 15570, 15572, 15574, 15576, 15600, 15610, 15620, 15630, 15650, 15730, 15731, 15732, 15733, 15734, 15736, 15738, 15740, 15750, 15756, 15757, 15758, 15760, 15770, 15775, 15776, 15780, 15781, 15782, 15783, 15786, 15788, 15789, 15792, 15793, 15819, 15820, 15821, 15822, 15823, 15824, 15825, 15826, 15828, 15829, 15830, 15832, 15833, 15834, 15835, 15836, 15837, 15838, 15839, 15840, 15841, 15842, 15845, 15851, 15852, 15860, 15876, 15877, 15878, 15879, 15920, 15922, 15931, 15933, 15934, 15935, 15936, 15937, 15940, 15941, 15944, 15945, 15946, 15950, 15951, 15952, 15953, 15956, 15958, 16000, 16020, 16025, 16030, 16035, 17000, 17004, 17106, 17107, 17108, 17110, 17111, 17250, 17260, 17261, 17262, 17263, 17264, 17266, 17270, 17271, 17272, 17273, 17274, 17276, 17280, 17281, 17282, 17283, 17284, 17286, 17311, 17313, 17340, 17360, 17380, 19000, 19020, 19030, 19081, 19082, 19083, 19084, 19085, 19086, 19100, 19101, 19102, 19103, 19105, 19110, 19112, 19120, 19125, 19260, 19271, 19272, 19281, 19282, 19283, 19284, 19285, 19286, 19287, 19288, 19290, 19294, 19296, 19298, 19300, 19301, 19302, 19303, 19304, 19305, 19306, 19307, 19316, 19318, 19324, 19325, 19328, 19330, 19340, 19342, 19350, 19355, 19357, 19361, 19364, 19366, 19367, 19368, 19369, 19370, 19371, 19380, 19396, 20005, 20100, 20101, 20102, 20103, 20150, 20200, 20205, 20206, 20220, 20225, 20240, 20245, 20250, 20251, 20500, 20501, 20520, 20525, 20526, 20527, 20550, 20551, 20552, 20553, 20555, 20600, 20604, 20605, 20606, 20610, 20611, 20612, 20615, 20650, 20660, 20661, 20662, 20663, 20664, 20665, 20670, 20680, 20690, 20692, 20693, 20694, 20696, 20697, 20802, 20805, 20808, 20816, 20822, 20824, 20827, 20838, 20900, 20902, 20910, 20912, 20920, 20922, 20924, 20926, 20939, 20950, 20955, 20956, 20957, 20962, 20969, 20970, 20972, 20973, 20974, 20975, 20979, 20982, 20983, 21010, 21011, 21012, 21013, 21014, 21015, 21016, 21025, 21026, 21029, 21030, 21031, 21032, 21034, 21040, 21044, 21045, 21046, 21047, 21048, 21049, 21050, 21060, 21070, 21073, 21076, 21077, 21079, 21080, 21081, 21082, 21083, 21084, 21085, 21086, 21087, 21088, 21100, 21110, 21116, 21120, 21121, 21122, 21123, 21125, 21127, 21137, 21138, 21139, 21141, 21142, 21143, 21145, 21146, 21147, 21150, 21151, 21154, 21155, 21159, 21160, 21172, 21175, 21179, 21180, 21181, 21182, 21183, 21184, 21188, 21193, 21194, 21195, 21196, 21198, 21199, 21206, 21208, 21209, 21210, 21215, 21230, 21235, 21240, 21242, 21243, 21244, 21245, 21246, 21247, 21248, 21249, 21255, 21256, 21260, 21261, 21263, 21267, 21268, 21270, 21275, 21280, 21282, 21295, 21296, 21310, 21315, 21320, 21325, 21330, 21335, 21336, 21337, 21338, 21339, 21340, 21343, 21344, 21345, 21346, 21347, 21348, 21355, 21356, 21360, 21365, 21366, 21385, 21386, 21387, 21390, 21395, 21400, 21401, 21406, 21407, 21408, 21421, 21422, 21423, 21431, 21432, 21433, 21435, 21436, 21440, 21445, 21450, 21451, 21452, 21453, 21454, 21461, 21462, 21465, 21470, 21480, 21485, 21490, 21495, 21497, 21501, 21502, 21510, 21550, 21552, 21554, 21555, 21556, 21557, 21558, 21600, 21610, 21615, 21616, 21620, 21627, 21630, 21632, 21685, 21700, 21705, 21720, 21725, 21740, 21742, 21743, 21750, 21800, 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49411, 49418, 49419, 49421, 49422, 49423, 49424, 49425, 49426, 49427, 49428, 49429, 49436, 49440, 49441, 49442, 49446, 49450, 49451, 49452, 49460, 49465, 49491, 49492, 49495, 49496, 49500, 49501, 49505, 49507, 49520, 49521, 49525, 49540, 49550, 49553, 49555, 49557, 49560, 49561, 49565, 49566, 49570, 49572, 49580, 49582, 49585, 49587, 49590, 49600, 49605, 49606, 49610, 49611, 49650, 49651, 49652, 49653, 49654, 49655, 49656, 49657, 49900, 49904, 49906, 50010, 50020, 50021, 50040, 50045, 50060, 50065, 50070, 50075, 50080, 50081, 50100, 50120, 50125, 50130, 50135, 50200, 50205, 50220, 50225, 50230, 50234, 50236, 50240, 50250, 50280, 50290, 50320, 50340, 50360, 50365, 50370, 50380, 50382, 50384, 50385, 50386, 50387, 50389, 50390, 50391, 50392, 50393, 50394, 50395, 50396, 50398, 50400, 50405, 50430, 50431, 50432, 50433, 50434, 50435, 50500, 50520, 50525, 50526, 50540, 50541, 50542, 50543, 50544, 50545, 50546, 50547, 50548, 50551, 50553, 50555, 50557, 50561, 50562, 50570, 50572, 50574, 50575, 50576, 50580, 50590, 50592, 50593, 50600, 50605, 50606, 50610, 50620, 50630, 50650, 50660, 50684, 50686, 50688, 50690, 50693, 50694, 50695, 50700, 50705, 50706, 50715, 50722, 50725, 50727, 50728, 50740, 50750, 50760, 50770, 50780, 50782, 50783, 50785, 50800, 50810, 50815, 50820, 50825, 50830, 50840, 50845, 50860, 50900, 50920, 50930, 50940, 50945, 50947, 50948, 50951, 50953, 50955, 50957, 50961, 50970, 50972, 50974, 50976, 50980, 51020, 51030, 51040, 51045, 51050, 51060, 51065, 51080, 51100, 51101, 51102, 51500, 51520, 51525, 51530, 51535, 51550, 51555, 51565, 51570, 51575, 51580, 51585, 51590, 51595, 51596, 51597, 51600, 51605, 51610, 51700, 51701, 51702, 51703, 51705, 51710, 51715, 51720, 51725, 51726, 51727, 51728, 51729, 51784, 51785, 51792, 51800, 51820, 51840, 51841, 51845, 51860, 51865, 51880, 51900, 51920, 51925, 51940, 51960, 51980, 51990, 51992, 52000, 52001, 52005, 52007, 52010, 52204, 52214, 52224, 52234, 52235, 52240, 52250, 52260, 52265, 52270, 52275, 52276, 52277, 52281, 52282, 52283, 52285, 52287, 52290, 52300, 52301, 52305, 52310, 52315, 52317, 52318, 52320, 52325, 52327, 52330, 52332, 52334, 52341, 52342, 52343, 52344, 52345, 52346, 52351, 52352, 52353, 52354, 52355, 52356, 52400, 52402, 52441, 52442, 52450, 52500, 52601, 52630, 52640, 52647, 52648, 52649, 52700, 53000, 53010, 53020, 53025, 53040, 53060, 53080, 53085, 53200, 53210, 53215, 53220, 53230, 53235, 53240, 53250, 53260, 53265, 53270, 53275, 53400, 53405, 53410, 53415, 53420, 53425, 53430, 53431, 53440, 53442, 53444, 53445, 53446, 53447, 53448, 53449, 53450, 53460, 53500, 53502, 53505, 53510, 53515, 53520, 53600, 53601, 53605, 53620, 53621, 53660, 53661, 53665, 53850, 53852, 53855, 53860, 54000, 54001, 54015, 54050, 54055, 54056, 54057, 54060, 54065, 54100, 54105, 54110, 54111, 54112, 54115, 54120, 54125, 54130, 54135, 54150, 54160, 54161, 54162, 54163, 54164, 54200, 54205, 54220, 54230, 54231, 54235, 54240, 54250, 54300, 54304, 54308, 54312, 54316, 54318, 54322, 54324, 54326, 54328, 54332, 54336, 54340, 54344, 54348, 54352, 54360, 54380, 54385, 54390, 54400, 54401, 54405, 54406, 54408, 54410, 54411, 54415, 54416, 54417, 54420, 54430, 54435, 54437, 54438, 54440, 54450, 54500, 54505, 54512, 54520, 54522, 54530, 54535, 54550, 54560, 54600, 54620, 54640, 54650, 54660, 54670, 54680, 54690, 54692, 54700, 54800, 54830, 54840, 54860, 54861, 54865, 54900, 54901, 55000, 55040, 55041, 55060, 55100, 55110, 55120, 55150, 55175, 55180, 55200, 55250, 55300, 55400, 55450, 55500, 55520, 55530, 55535, 55540, 55550, 55600, 55605, 55650, 55680, 55700, 55705, 55706, 55720, 55725, 55801, 55810, 55812, 55815, 55821, 55831, 55840, 55842, 55845, 55860, 55862, 55865, 55866, 55870, 55873, 55874, 55875, 55876, 55920, 56405, 56420, 56440, 56441, 56442, 56501, 56515, 56605, 56620, 56625, 56630, 56631, 56632, 56633, 56634, 56637, 56640, 56700, 56740, 56800, 56805, 56810, 56820, 56821, 57000, 57010, 57020, 57022, 57023, 57061, 57065, 57100, 57105, 57106, 57107, 57109, 57110, 57111, 57112, 57120, 57130, 57135, 57150, 57155, 57156, 57160, 57170, 57180, 57200, 57210, 57220, 57230, 57240, 57250, 57260, 57265, 57268, 57270, 57280, 57282, 57283, 57284, 57285, 57287, 57288, 57289, 57291, 57292, 57295, 57296, 57300, 57305, 57307, 57308, 57310, 57311, 57320, 57330, 57335, 57400, 57410, 57415, 57420, 57421, 57423, 57425, 57426, 57452, 57454, 57455, 57456, 57460, 57461, 57500, 57505, 57510, 57511, 57513, 57520, 57522, 57530, 57531, 57540, 57545, 57550, 57555, 57556, 57558, 57700, 57720, 57800, 58100, 58120, 58140, 58145, 58146, 58150, 58152, 58180, 58200, 58210, 58240, 58260, 58262, 58263, 58267, 58270, 58275, 58280, 58285, 58290, 58291, 58292, 58293, 58294, 58301, 58321, 58322, 58323, 58340, 58345, 58346, 58350, 58353, 58356, 58400, 58410, 58520, 58540, 58541, 58542, 58543, 58544, 58545, 58546, 58548, 58550, 58552, 58553, 58554, 58555, 58558, 58559, 58560, 58561, 58562, 58563, 58565, 58570, 58571, 58572, 58573, 58575, 58600, 58605, 58615, 58660, 58661, 58662, 58670, 58671, 58672, 58673, 58674, 58700, 58720, 58740, 58750, 58752, 58760, 58770, 58800, 58805, 58820, 58822, 58823, 58825, 58900, 58920, 58925, 58940, 58943, 58950, 58951, 58952, 58953, 58954, 58956, 58957, 58958, 58960, 58970, 58974, 58976, 59000, 59001, 59012, 59015, 59020, 59025, 59030, 59070, 59072, 59074, 59076, 59100, 59120, 59121, 59130, 59135, 59136, 59140, 59150, 59151, 59160, 59200, 59300, 59320, 59325, 59350, 59400, 59410, 59510, 59515, 59610, 59614, 59618, 59622, 59812, 59820, 59821, 59830, 59840, 59841, 59850, 59851, 59852, 59855, 59856, 59857, 59866, 59870, 59871, 60000, 60100, 60200, 60210, 60212, 60220, 60225, 60240, 60252, 60254, 60260, 60270, 60271, 60280, 60281, 60300, 60500, 60502, 60505, 60520, 60521, 60522, 60540, 60545, 60600, 60605, 60650, 61000, 61001, 61020, 61026, 61050, 61055, 61070, 61105, 61107, 61108, 61120, 61140, 61150, 61151, 61154, 61156, 61210, 61215, 61250, 61253, 61304, 61305, 61312, 61313, 61314, 61315, 61320, 61321, 61322, 61323, 61330, 61332, 61333, 61334, 61340, 61343, 61345, 61440, 61450, 61458, 61460, 61470, 61480, 61490, 61500, 61501, 61510, 61512, 61514, 61516, 61518, 61519, 61520, 61521, 61522, 61524, 61526, 61530, 61531, 61533, 61534, 61535, 61536, 61537, 61538, 61539, 61540, 61541, 61542, 61543, 61544, 61545, 61546, 61548, 61550, 61552, 61556, 61557, 61558, 61559, 61563, 61564, 61566, 61567, 61570, 61571, 61575, 61576, 61580, 61581, 61582, 61583, 61584, 61585, 61586, 61590, 61591, 61592, 61595, 61596, 61597, 61598, 61600, 61601, 61605, 61606, 61607, 61608, 61613, 61615, 61616, 61618, 61619, 61623, 61624, 61626, 61640, 61645, 61650, 61651, 61680, 61682, 61684, 61686, 61690, 61692, 61697, 61698, 61700, 61702, 61703, 61705, 61708, 61710, 61711, 61720, 61735, 61750, 61751, 61760, 61770, 61790, 61791, 61796, 61798, 61850, 61860, 61863, 61867, 61870, 61875, 61880, 61885, 61886, 61888, 62000, 62005, 62010, 62100, 62115, 62116, 62117, 62120, 62121, 62140, 62141, 62142, 62143, 62145, 62146, 62147, 62161, 62162, 62163, 62164, 62165, 62180, 62190, 62192, 62194, 62200, 62201, 62220, 62223, 62225, 62230, 62256, 62258, 62263, 62264, 62267, 62268, 62269, 62270, 62272, 62273, 62280, 62281, 62282, 62284, 62287, 62290, 62291, 62292, 62294, 62302, 62303, 62304, 62305, 62310, 62311, 62318, 62319, 62320, 62321, 62322, 62323, 62324, 62325, 62326, 62327, 62350, 62351, 62355, 62360, 62361, 62362, 62365, 62380, 63001, 63003, 63005, 63011, 63012, 63015, 63016, 63017, 63020, 63030, 63040, 63042, 63045, 63046, 63047, 63050, 63051, 63055, 63056, 63064, 63075, 63077, 63081, 63085, 63087, 63090, 63101, 63102, 63170, 63172, 63173, 63180, 63182, 63185, 63190, 63191, 63194, 63195, 63196, 63197, 63198, 63199, 63200, 63250, 63251, 63252, 63265, 63266, 63267, 63268, 63270, 63271, 63272, 63273, 63275, 63276, 63277, 63278, 63280, 63281, 63282, 63283, 63285, 63286, 63287, 63290, 63300, 63301, 63302, 63303, 63304, 63305, 63306, 63307, 63600, 63610, 63615, 63620, 63650, 63655, 63661, 63662, 63663, 63664, 63685, 63688, 63700, 63702, 63704, 63706, 63707, 63709, 63710, 63740, 63741, 63744, 63746, 64400, 64402, 64405, 64408, 64410, 64412, 64413, 64415, 64416, 64417, 64418, 64420, 64421, 64425, 64430, 64435, 64445, 64446, 64447, 64448, 64449, 64450, 64455, 64461, 64462, 64463, 64479, 64483, 64486, 64487, 64488, 64489, 64490, 64493, 64505, 64508, 64510, 64517, 64520, 64530, 64550, 64553, 64555, 64561, 64565, 64566, 64568, 64569, 64570, 64575, 64580, 64581, 64585, 64590, 64595, 64600, 64605, 64610, 64611, 64612, 64613, 64614, 64615, 64616, 64617, 64620, 64630, 64632, 64633, 64635, 64640, 64642, 64643, 64644, 64645, 64646, 64647, 64650, 64653, 64680, 64681, 64702, 64704, 64708, 64712, 64713, 64714, 64716, 64718, 64719, 64721, 64722, 64726, 64732, 64734, 64736, 64738, 64740, 64742, 64744, 64746, 64752, 64755, 64760, 64761, 64763, 64766, 64771, 64772, 64774, 64776, 64782, 64784, 64786, 64788, 64790, 64792, 64795, 64802, 64804, 64809, 64818, 64820, 64821, 64822, 64823, 64831, 64834, 64835, 64836, 64840, 64856, 64857, 64858, 64861, 64862, 64864, 64865, 64866, 64868, 64870, 64885, 64886, 64890, 64891, 64892, 64893, 64895, 64896, 64897, 64898, 64905, 64907, 64910, 64911, 64912, 64913, 65091, 65093, 65101, 65103, 65105, 65110, 65112, 65114, 65125, 65130, 65135, 65140, 65150, 65155, 65175, 65205, 65210, 65220, 65222, 65235, 65260, 65265, 65270, 65272, 65273, 65275, 65280, 65285, 65286, 65290, 65400, 65410, 65420, 65426, 65430, 65435, 65436, 65450, 65600, 65710, 65730, 65750, 65755, 65756, 65770, 65772, 65775, 65778, 65779, 65780, 65781, 65782, 65785, 65800, 65810, 65815, 65820, 65850, 65855, 65860, 65865, 65870, 65875, 65880, 65900, 65920, 65930, 66020, 66030, 66130, 66150, 66155, 66160, 66165, 66170, 66172, 66174, 66175, 66179, 66180, 66183, 66184, 66185, 66220, 66225, 66250, 66500, 66505, 66600, 66605, 66625, 66630, 66635, 66680, 66682, 66700, 66710, 66711, 66720, 66740, 66761, 66762, 66770, 66820, 66821, 66825, 66830, 66840, 66850, 66852, 66920, 66930, 66940, 66982, 66983, 66984, 66985, 66986, 67005, 67010, 67015, 67025, 67027, 67028, 67030, 67031, 67036, 67039, 67040, 67041, 67042, 67043, 67101, 67105, 67107, 67108, 67110, 67112, 67113, 67115, 67120, 67121, 67141, 67145, 67208, 67210, 67218, 67220, 67221, 67227, 67228, 67229, 67250, 67255, 67311, 67312, 67314, 67316, 67318, 67343, 67345, 67346, 67400, 67405, 67412, 67413, 67414, 67415, 67420, 67430, 67440, 67445, 67450, 67500, 67505, 67515, 67550, 67560, 67570, 67700, 67710, 67715, 67800, 67801, 67805, 67808, 67810, 67820, 67825, 67830, 67835, 67840, 67850, 67875, 67880, 67882, 67900, 67901, 67902, 67903, 67904, 67906, 67908, 67909, 67911, 67912, 67914, 67915, 67916, 67917, 67921, 67922, 67923, 67924, 67930, 67935, 67938, 67950, 67961, 67966, 67971, 67973, 67974, 67975, 68020, 68040, 68100, 68110, 68115, 68130, 68135, 68200, 68320, 68325, 68326, 68328, 68330, 68335, 68340, 68360, 68362, 68371, 68400, 68420, 68440, 68500, 68505, 68510, 68520, 68525, 68530, 68540, 68550, 68700, 68705, 68720, 68745, 68750, 68760, 68761, 68770, 68801, 68810, 68811, 68815, 68816, 68840, 68850, 69000, 69005, 69020, 69100, 69105, 69110, 69120, 69140, 69145, 69150, 69155, 69200, 69205, 69209, 69210, 69220, 69222, 69310, 69320, 69400, 69401, 69405, 69420, 69421, 69424, 69433, 69436, 69440, 69450, 69501, 69502, 69505, 69511, 69530, 69535, 69540, 69550, 69552, 69554, 69601, 69602, 69603, 69604, 69605, 69610, 69620, 69631, 69632, 69633, 69635, 69636, 69637, 69641, 69642, 69643, 69644, 69645, 69646, 69650, 69660, 69661, 69662, 69666, 69667, 69670, 69676, 69700, 69711, 69714, 69715, 69717, 69718, 69720, 69725, 69740, 69745, 69801, 69805, 69806, 69820, 69840, 69905, 69910, 69915, 69930, 69950, 69955, 69960, 69970, 77261, 77262, 77263, 77280, 77285, 77290, 77293, 77295, 77300, 77301, 77305, 77306, 77307, 77310, 77315, 77316, 77317, 77318, 77321, 77326, 77327, 77328, 77331, 77332, 77333, 77334, 77336, 77338, 77370, 77371, 77372, 77373, 77401, 77402, 77403, 77404, 77406, 77407, 77408, 77409, 77411, 77412, 77413, 77414, 77416, 77417, 77418, 77421, 77422, 77423, 77424, 77425, 77427, 77431, 77432, 77435, 77469, 77470, 77520, 77522, 77523, 77525, 77600, 77605, 77610, 77615, 77620, 77750, 77761, 77762, 77763, 77767, 77768, 77776, 77777, 77778, 77781, 77782, 77783, 77784, 77785, 77786, 77787, 77789, 77790, 90760, 90765, 90769, 90772, 90773, 90774, 90791, 90792, 90801, 90802, 90805, 90807, 90809, 90811, 90813, 90815, 90817, 90819, 90822, 90824, 90827, 90829, 90832, 90834, 90837, 90845, 90846, 90847, 90849, 90857, 90865, 90867, 90868, 90869, 90870, 90880, 90901, 90911, 90935, 90937, 90945, 90947, 90951, 90952, 90953, 90954, 90955, 90956, 90957, 90958, 90959, 90960, 90961, 90962, 90963, 90964, 90965, 90966, 90967, 90968, 90969, 90970, 90997, 91010, 91020, 91022, 91030, 91034, 91035, 91037, 91038, 91040, 91065, 91117, 91122, 92502, 92511, 92920, 92924, 92928, 92933, 92937, 92941, 92943, 92950, 92953, 92960, 92961, 92970, 92971, 92975, 92986, 92987, 92990, 92992, 92993, 92997, 93451, 93452, 93453, 93454, 93455, 93456, 93457, 93458, 93459, 93460, 93461, 93503, 93505, 93530, 93531, 93532, 93533, 93561, 93562, 93580, 93581, 93582, 93583, 93590, 93591, 93592, 93600, 93602, 93603, 93610, 93612, 93615, 93616, 93618, 93619, 93620, 93624, 93631, 93640, 93641, 93642, 93644, 93650, 93653, 93654, 93656, 93660, 93724, 93797, 93798, 94010, 94011, 94012, 94013, 94014, 94015, 94016, 94060, 94070, 94150, 94200, 94250, 94375, 94400, 94450, 94452, 94453, 94610, 94617, 94618, 94620, 94621, 94640, 94642, 94644, 94645, 94660, 94662, 94664, 94667, 94668, 94669, 94680, 94681, 94690, 94726, 94727, 94728, 94729, 94750, 94760, 94761, 94762, 94770, 94772, 94774, 94775, 94776, 94777, 94780, 94781, 95004, 95010, 95012, 95015, 95017, 95018, 95024, 95027, 95028, 95044, 95052, 95056, 95060, 95065, 95070, 95071, 95075, 95076, 95079, 95115, 95117, 95120, 95125, 95130, 95131, 95132, 95133, 95134, 95144, 95145, 95146, 95147, 95148, 95149, 95165, 95170, 95180, 96111, 96401, 96402, 96405, 96406, 96409, 96413, 96416, 96420, 96422, 96425, 96440, 96445, 96450, 96521, 96522, 96542, 96920, 96921, 96922, 97597, 97810, 97811, 97813, 97814, 98925, 98926, 98927, 98928, 98929, 98940, 98941, 98942, 98943, 99143, 99144, 99148, 99149, 99151, 99152, 99155, 99156, 99170, 99183, 99218, 99219, 99220, 99221, 99222, 99223, 99234, 99235, 99236, 99293, 99294, 99295, 99296, 99298, 99299, 99455, 99456, C5271, C5273, C5275, C5277, C9273, C9735, C9737, C9738, C9739, C9740, C9742, C9743, C9745, C9747, C9748, G0101, G0104, G0105, G0106, G0120, G0121, G0168, G0173, G0243, G0251, G0268, G0302, G0303, G0304, G0305, G0339, G0340, G0341, G0342, G0343, G0410, G0411, G0412, G0413, G0414, G0415, G0429, G0455, G0471, G0491, G0492, G0500, G6002, G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014, G6015, G6017, G6018, G6019, G6020, G6022, G6023, G6024, G6025, P3000, P3001, Q0091, Q2043
Mutually Exclusive
11719, 90804, 90806, 90808, 90810, 90812, 90814, 90816, 90818, 90821, 90823, 90826, 90828, 97001, 97002, 97003, 97004, 97161, 97162, 97163, 97164, 97165, 97166, 97167, 97168, 99306, G0127, G0344, G0402, G0438, G0439
If you get stuck finding the right Code, take a look at our 5 Ways to Find the Most Appropriate CPT Code.
Related CPT Codes
CPT Code | Description |
---|---|
99304 | Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the problem(s) requiring admission are of low severity. Typically, 25 minutes are spent at the bedside and on the patient’s facility floor or unit. |
99304 | Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the problem(s) requiring admission are of low severity. Typically, 25 minutes are spent at the bedside and on the patient’s facility floor or unit. |
99305 | Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the problem(s) requiring admission are of moderate severity. Typically, 35 minutes are spent at the bedside and on the patient’s facility floor or unit. |
99306 | Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the problem(s) requiring admission are of high severity. Typically, 45 minutes are spent at the bedside and on the patient’s facility floor or unit. |
99307 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is stable, recovering, or improving. Typically, 10 minutes are spent at the bedside and on the patient’s facility floor or unit. |
99308 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 15 minutes are spent at the bedside and on the patient’s facility floor or unit. |
99309 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient has developed a significant complication or a significant new problem. Typically, 25 minutes are spent at the bedside and on the patient’s facility floor or unit. |
99310 | Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 35 minutes are spent at the bedside and on the patient’s facility floor or unit. |
99315 | Nursing facility discharge day management; 30 minutes or less |
99316 | Nursing facility discharge day management; more than 30 minutes |
99318 | Evaluation and management of a patient involving an annual nursing facility assessment, which requires these 3 key components: A detailed interval history; A comprehensive examination; and Medical decision making that is of low to moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is stable, recovering, or improving. Typically, 30 minutes are spent at the bedside and on the patient’s facility floor or unit. |
99324 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent with the patient and/or family or caregiver. |
99325 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent with the patient and/or family or caregiver. |
99326 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent with the patient and/or family or caregiver. |
99327 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent with the patient and/or family or caregiver. |
99328 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 minutes are spent with the patient and/or family or caregiver. |
99334 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self-limited or minor. Typically, 15 minutes are spent with the patient and/or family or caregiver. |
99335 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 25 minutes are spent with the patient and/or family or caregiver. |
99336 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent with the patient and/or family or caregiver. |
99337 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 minutes are spent with the patient and/or family or caregiver. |
99339 | Individual physician supervision of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living facility) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 15-29 minutes |
99340 | Individual physician supervision of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living facility) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more |
99341 | Home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent face-to-face with the patient and/or family. |
99342 | Home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family. |
99343 | Home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family. |
99344 | Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family. |
99345 | Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 minutes are spent face-to-face with the patient and/or family. |
99347 | Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family. |
99348 | Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 25 minutes are spent face-to-face with the patient and/or family. |
99349 | Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family. |
99350 | Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 minutes are spent face-to-face with the patient and/or family. |
99354 | Prolonged evaluation and management or psychotherapy service(s) (beyond the typical service time of the primary procedure) in the office or other outpatient setting requiring direct patient contact beyond the usual service; first hour (List separately in addition to code for office or other outpatient Evaluation and Management or psychotherapy service) |
99355 | Prolonged evaluation and management or psychotherapy service(s) (beyond the typical service time of the primary procedure) in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (List separately in addition to code for prolonged service) |
99356 | Prolonged service in the inpatient or observation setting, requiring unit/floor time beyond the usual service; first hour (List separately in addition to code for inpatient Evaluation and Management service) |
99357 | Prolonged service in the inpatient or observation setting, requiring unit/floor time beyond the usual service; each additional 30 minutes (List separately in addition to code for prolonged service) |
99358 | Prolonged evaluation and management service before and/or after direct patient care; first hour |
99359 | Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (List separately in addition to code for prolonged service) |
99360 | Standby service, requiring prolonged attendance, each 30 minutes (eg, operative standby, standby for frozen section, for cesarean/high risk delivery, for monitoring EEG) |
99366 | Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional |
99367 | Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by physician |
99368 | Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional |
99374 | Supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer’s facility) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 15-29 minutes |
99375 | Supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer’s facility) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more |
99377 | Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 15-29 minutes |
99378 | Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more |
99379 | Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 15-29 minutes |
99380 | Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more |
99381 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 year) |
99382 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; early childhood (age 1 through 4 years) |
99383 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; late childhood (age 5 through 11 years) |
99384 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; adolescent (age 12 through 17 years) |
99385 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years |
99386 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years |
99387 | Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older |
99391 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year) |
99392 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years) |
99393 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) |
99394 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years) |
99395 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years |
99396 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years |
99397 | Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older |