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What code would be used for a New Patient when doing a "Detailed history, Detailed exam, Low medical decision; Problem or condition: moderate; avg. time: 30 minutes"?

A) 99203
B) 99204
C) 99205
D) 99206

1 Answer

4 votes

Final answer:

The appropriate CPT code for a new patient with a Detailed history, Detailed exam, and Low medical decision complexity with a 30-minute consult is 99203.

Step-by-step explanation:

The code used for a new patient who receives a Detailed history, Detailed exam, and has a Low medical decision complexity with a moderate problem or condition during an average time of 30 minutes is 99203. The Current Procedural Terminology (CPT) codes provide a uniform language for reporting medical services and procedures. The level of the code selected is based on the elements documented and the complexity of the medical decision-making as per the American Medical Association guidelines. In this case, the detailed history and exam align with the descriptors for a 99203, assuming the encounter did not involve a comprehensive history/exam or high complexity decision-making which are associated with higher codes such as 99204 or 99205.

User Vahid Farahmand
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