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2020 Evaluation and Management Codes

Office or Other Outpatient Services

New

Require 3/3 Components

  • A problem focused history

  • A problem focused examination

  • Straightforward medical decision making

99201               10 minutes

  • A problem focused history

  • A problem focused examination

  • Straightforward medical decision making

​

  • An expanded problem focused history

  • A expanded problem focused examination

  • Straightforward medical decision making

99202               20 minutes

  • An expanded problem focused history

  • A expanded problem focused examination

  • Straightforward medical decision making

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  • A detailed history

  • A detailed examination

  • Medical decision making of Low Complexity

99203               30 minutes

  • A detailed history

  • A detailed examination

  • Medical decision making of Low Complexity

99204               45 minutes

  • A comprehensive history

  • A comprehensive examination

  • Medical decision making of Moderate Complexity

  • A comprehensive history

  • A comprehensive examination

  • Medical decision making of High Complexity

99205               60 minutes

  • A comprehensive history

  • A comprehensive examination

  • Medical decision making of High Complexity

Established

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99211                  5 minutes

  • Minimal presenting problem(s)

  • May not require presence of physician or other qualified health care professional

99212                10 minutes

  • A problem focused history

  • A problem focused examination

  • Straightforward medical decision making

99213                15 minutes

  • An expanded problem focused history

  • An expanded problem focused examination

  • Medical decision making of Low Complexity

99214                25 minutes

  • A detailed history

  • A detailed examination

  • Medical decision making of Moderate Complexity

99215                40 minutes

  • A comprehensive history

  • A comprehensive examination

  • Medical decision making of High Complexity

Require 2/3 Components

NOTE:

  • Times for each are CPT's estimations of time typically spent face-to-face with patient and/or family.

  • Each E/M level of service includes counseling and/or care of coordination of care with other physicians, other qualified health care professionals, or agencies, consistent with the nature of the problem(s) and the patient's and/or family's needs.  

      Exception: Time for 99211 is CPT's estimate of time typically spent performing or supervising services; ​no counseling and/or coordination of care.

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