What CPT code would be used for a basic office visit?

Quality Thought is the best Medical Coding training institute in Hyderabad, renowned for its comprehensive curriculum and expert trainers. Our institute offers in-depth training on all aspects of medical coding, including ICD-10, CPT, HCPCS, and medical billing, designed to prepare students for global certification exams. With a focus on practical knowledge and industry-relevant skills, Quality Thought ensures students gain hands-on experience through real-time projects and case studies.

Located in the heart of Hyderabad, our state-of-the-art facilities and supportive learning environment make Quality Thought the preferred choice for aspirants aiming to build a successful career in healthcare coding. Our certified trainers bring years of industry experience and personalized attention to help students master the complex coding systems used in hospitals, insurance companies, and healthcare organizations.

We also provide placement assistance, helping students secure jobs with leading medical coding companies. If you’re looking for the best Medical Coding training in Hyderabad, Quality Thought stands out by combining quality education, affordable fees, and excellent career support.

Enroll at Quality Thought today and take the first step toward a rewarding career in medical coding!

A basic office visit is typically billed using Evaluation and Management (E/M) CPT codes, which vary based on factors such as the patient's status (new or established), the complexity of the visit, and the time spent.

Here are the most common CPT codes for basic office visits:

For Established Patients (returning):

• 99211 – Minimal visit; may not require a physician (e.g., nurse-only visit)

• 99212 – Problem-focused, straightforward; 10–19 minutes

• 99213 – Low level of complexity; 20–29 minutes (most common basic office visit)

• 99214 – Moderate complexity; 30–39 minutes

• 99215 – High complexity; 40–54 minutes

For New Patients:

• 99202 – Straightforward medical decision-making; 15–29 minutes

• 99203 – Low complexity; 30–44 minutes

• 99204 – Moderate complexity; 45–59 minutes

• 99205 – High complexity; 60–74 minutes

⚠️ Note: As of 2021, CPT E/M codes for office visits are primarily selected based on medical decision-making (MDM) or time spent, rather than physical exam and history requirements.

Most Common Code for a Basic Visit:

• 99213 is widely used for basic, low-complexity office visits for established patients, such as managing stable chronic conditions or addressing minor acute issues.

Documentation Tip:

Accurate coding requires proper documentation of the patient's condition, time spent, and decision-making complexity to justify the selected CPT code.

For specific billing, always refer to the latest CPT guidelines or consult with your billing specialist.

Read More

What does ICD-10-CM stand for?

What is the difference between Category I, II, and III CPT codes?

Visit QUALITY THOUGHT Training in Hyderabad