Jul 20, 2017 · My opinion has always been that 'establishing care' as a reason for a visit is not sufficient to support medical necessity for any service. This is usually an education issue for …

Oct 5, 2025 · Primary care CPT codes 99391 to 99397 cover established patients’ well-patient visits and routine physical check-ups. Most often, such preventive visits occur annually and …

Dec 23, 2019 · Learn the three core parts of CPT code 99201 - 99205, whether you’re coding for a new or an established patient, in order to receive full reimbursement.

Jun 22, 2025 · CPT Code 99211 applies to brief, low-complexity services for established patients, often handled by support staff. Discover billing tips and avoid denials.

View what determines a new versus an established patient visit and examples of each.

For an established patient visit where the physician performs a detailed history and examination, and the medical decision-making is of moderate complexity, the appropriate CPT code would …

Nov 2, 2023 · If the patient is new to the area and wanted to establish a rapport with a PCP, document this as the reason for the encounter. I assume the patient completed a medical …

Jan 24, 2010 · Questions and answers about medical documentation, coding, billing, reimbursement and practice management.

Nov 28, 2024 · CPT code 99211 is an evaluation and management code for established patients. It is used when clinical staff assesses and manages the patient’s condition.

Mar 3, 2023 · One of the first rules in coding is that there must be a medically necessary reason for providing the service. Establishing care does not support medical necessity.