Evaluation And Management / Office Visit Codes

Patient responsibility may apply with every office visit. These are usually billed along with other diagnostic testing performed during the visit.

New Patient Established Patient Description
99201 99211 Nurse Visit
99202 99212 self-limited / minor problem
99203 99213 chronic stable illness
Acute uncomplicated illness
99204 99214 chronic illness with mild exacerbation / progression or side effect of treatment
chronic illnesses stable
Undiagnosed new problem with uncertain diagnosis
Acute illness with systemic symptoms
99205 99215 chronic illness with severe exacerbation / progression or side effect of treatment
Acute or chronic illnesses that poses a threat to life or bodily function
Abrupt change in neurological status