If time is the basis for code selection, cpt 99204 applies when the provider spends between 45 and 59 total minutes with the patient on the same day as the visit. This code is applicable when the following elements are fulfilled Many ehrs have time calculators that will show the amount of time you have had the patient's.
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Cpt 99204 is used to bill for an office or other outpatient visit with a new patient that requires a moderate level of medical decision making and/or at least 45 minutes of total time spent on the date of the encounter.
Code 99204 represents a new patient appointment that’s at least 45 minutes in duration
It’s a prescriber code, which means it’s most commonly used by psychiatrists or nurse practitioners. The choice between the two cpt codes 99204 and 99205 is clearer in mdm and time thresholds Learn its eligibility, billing, and documentation tips. Now, code selection relies solely on medical decision making (mdm) or total time spent by the provider
What is cpt code 99204 First and foremost, 99204 is only for new patients. Cpt code 99204 is used when a provider sees a new patient for an office or outpatient visit that involves a moderate level of medical decision making and/or when the total time spent on the encounter is 45 minutes or more. When to use cpt code 99204
