Billing
Possible ICD-9 Codes:
99201 to 5
99212 to 5
modifier 21
modifier 25
New patient evaluation and management
Established patient evaluation and management
Prolonged evaluation and management services
Separately identifiable E&M on same day (well child visit plus child abuse issue)
99361
99362
99371 to 3
30 min. team conference
60 min. team conference
3 Levels of phone calls for consultation or coordinating management
99381
99382
99383
99384
New patient comprehensive preventive medicine age < 1
New patient comprehensive preventive medicine age 1-4
New patient comprehensive preventive medicine age 5-11
New patient comprehensive preventive medicine age 12-17
Possible CPT Codes:
99391
99392
99393
99394
99401
99402
99403
99404
99358
(add on code)
Periodic comprehensive preventive medicine age <1
Periodic comprehensive preventive medicine age 1-4
Periodic comprehensive preventive medicine age 5-11
Periodic comprehensive preventive medicine age 12-17
Preventive medicine counseling, individual, 15 minutes
Preventive medicine counseling, individual, 30 minutes
Preventive medicine counseling, individual, 45 minutes
Preventive medicine counseling, individual, 60 minutes
Chart review 60 min. (without face-to-face contact)
99359
(add on code)
each additional 30 min.