Codapedia (TM) - The Free Encyclopedia for Medical Reimbursement
Join Our Community Here
It’s FREE!
Visit The Coker Group


Video Advertisements Below
General

Author:
Betsy Nicoletti
99212--established patient visit
Citations: No citations found
Resources: Sample audited 99212's (pdf)  
Total Reviews: 0
Current Rating: -na-

Established patient visits all require 2 out of 3 of history, exam, medical decision making

99212:
History required is problem focused: 1-3 HPI elements


Exam required is problem focused: 1 body area/organ system examined from the 1995 exam, or one bullet from the multi-specialty exam or any single specialty exam from 1997


Straightforward MDM (one resolved problem, one minor problem)

See the articles on auditing and the Documentation Guidelines in Codapedia. 

There are sample, audited notes attached in the resources page of this article.

Printable Version

Related Articles
  • Medical Necessity is not Medical Decision Making
  • Why Get Into Medical Billing?
  • EMRs - Coding and Compliance Concerns
  • Hospital Observation Services
  • Modifier -24
  • ROS Checklist
  • Will the RACs audit E/M services?
  • E/M service with no exam
  • Using Modifer -59
  • Consult Documentation Guidelines

  • Click Here to Comment, Clarify and Rate this Article

    Learn More about FAST Practice!
    About Codapedia    Terms of Use    Privacy Policy    Management    Advertise With Us    Report Copyright Violation     Follow Us