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E/M Consultation Services

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E/M Consultation Services, E/M Consultation, CPT 99241, CPT 99242, CPT 99243, CPT 99244, CPT 99245

  • See Also
  1. Evaluation and Management Coding (E/M Coding)
  2. E/M Patient Criteria (E/M New Patient, E/M Established Patient)
  3. E/M History Criteria
  4. E/M Examination Criteria
  5. E/M Medical Decision Making
  6. E/M Nature of Presenting Problem
  7. E/M Established Outpatient Visit
  8. E/M New Outpatient Visit
  9. E/M Emergency Services
  • Indication
  1. Outpatient Consultation
  • Outpatient Consultation
  • CPT Code 99241
  1. Key Components (All 3 meet or exceed requirements)
    1. E/M Problem Focused History
    2. E/M Problem Focused Exam
    3. E/M Straightforward Medical Decision
  2. E/M Self Limited or Minor Problem
  3. Physician Time: 15 minutes
  • Established Outpatient
  • CPT Code 99242
  1. Key Components (All 3 meet or exceed requirements)
    1. E/M Expanded Problem Focused History
    2. E/M Expanded Problem Focused Exam
    3. E/M Straightforward Medical Decision
  2. E/M Low Severity Problem
  3. Physician Time: 30 minutes
  • Outpatient Consultation
  • CPT Code 99243
  1. Key Components (All 3 meet or exceed requirements)
    1. E/M Detailed History
    2. E/M Detailed Exam
    3. E/M Low Complexity Medical Decision
  2. E/M Moderate Severity Problem
  3. Physician Time: 40 minutes
  • Outpatient Consultation
  • CPT Code 99244
  1. Key Components (All 3 meet or exceed requirements)
    1. E/M Comprehensive History
    2. E/M Comprehensive Exam
    3. E/M Moderate Complexity Medical Decision
  2. Problem Severity
    1. E/M Moderate Severity Problem
    2. E/M High Severity Problem
  3. Physician Time: 60 minutes
  • Outpatient Consultation
  • CPT Code 99245
  1. Key Components (All 3 meet or exceed requirements)
    1. E/M Comprehensive History
    2. E/M Comprehensive Exam
    3. E/M High Complexity Medical Decision
  2. Problem Severity
    1. E/M Moderate Severity Problem
    2. E/M High Severity Problem
  3. Physician Time: 80 minutes