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CPT Codes and Descriptions

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CPT Code Code Description



90801 Psychiatric diagnostic interview exam



90802 Interactive psychiatric diagnostic interview exam using play equipment, physical devices, language interpreter, or other mechanisms of communication

Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or outpatient facility, approximately 20 to 30 minutes face-to-

90804 face with the patient;

90805 with medical evaluation and management services

Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or outpatient facility, approximately 45 to 50 minutes face-to-

90806 face with the patient;

90807 with medical evaluation and management services

Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or outpatient facility, approximately 75 to 80 minutes face-to-

90808 face with the patient;

90809 with medical evaluation and management services

92002 Ophthalmological services: medical exam and evaluation with initiation of diagnostic and treatment program; intermediate, new patient

92004 comprehensive new patient, 1 or more visits

Ophthalmological services: medical exam and evaluation with initiation or continuation of diagnostic and treatment program; intermediate, established

92012 patient

92014 comprehensive established patient, 1 or more visits

Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented

96150 questionnaires), each 15 minutes face-to-face with the patient; initial assessment

96151 re-assessment

96152 Health and behavior intervention, each 15 minutes, face-to-face; individual

Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: *a problem focused

history; *a problem focused exam; *straightforward medical decision making. Counseling and/or coordination of care with other providers or

99201

agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self

limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family.



Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: *an expanded problem

99202 focused history; *an expanded problem focused exam; *straightforward medical decision making. Counseling and/or coordination of care with

other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting

problem(s) are of low to moderate severity. Physicians typically spend 20 minutes face-to-face with the patient and/or family.

Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: *a detailed history; *a

detailed exam; *medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided

99203

consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity.

Physicians typically spend 30 minutes face-to-face with the patient and/or family.

Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: *a comprehensive

history; *a comprehensive exam; *medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or

99204

agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of

moderate to high severity. Physicians typically spend 45 minutes face-to-face with the patient and/or family.

Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: *a comprehensive

history; *a comprehensive exam; *medical decision making of high complexity. Counseling and/or coordination of care with other providers or

99205

agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of

moderate to high severity. Physicians typically spend 60 minutes face-to-face with the patient and/or family.

Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician. Usually,

99211

the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.



Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: *a

99212 problem focused history; *a problem focused exam; *straightforward medical decision making. Counseling and/or coordination of care with other

providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s)

are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family.



Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: *an

99213 expanded problem focused history; *an expanded problem focused exam; *medical decision making of low complexity. Counseling and/or

coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs.

Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 15 minutes face-to-face with the patient and/or family.

Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: *a

detailed history; *a detailed exam; *medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or

99214

agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of

moderate to high severity. Physicians typically spend 25 minutes face-to-face with the patient and/or family.



Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: *a

99215 comprehensive history; *a comprehensive exam; *medical decision making of high complexity. Counseling and/or coordination of care with other

providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s)

are of moderate to high severity. Physicians typically spend 40 minutes face-to-face with the patient and/or family.

Office consultation for a new or established patient, which requires these 3 key components: *a problem focused history; *a problem focused exam;

and *straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with

99241

the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically

spend 15 minutes face-to-face with the patient and/or family.

Office consultation for a new or established patient, which requires these 3 key components: *an expanded problem focused history; *an expanded

problem focused exam; and *straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are

99242

provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity.

Physicians typically spend 30 minutes face-to-face with the patient and/or family.

Office consultation for a new or established patient, which requires these 3 key components: *a detailed history; *a detailed exam; and *medical

decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of

99243

the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 40

minutes face-to-face with the patient and/or family.

Office consultation for a new or established patient, which requires these 3 key components: *a comprehensive history; *a comprehensive exam;

and *medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided

99244

consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity.

Physicians typically spend 60 minutes face-to-face with the patient and/or family.

Office consultation for a new or established patient, which requires these 3 key components: *a comprehensive history; *a comprehensive exam;

and *medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent

99245

with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity to high severity.

Physicians typically spend 80 minutes face-to-face with the patient and/or family.

G0101 CA screen;pelvic/breast exam

G0108 Diab manage trn per indiv

G0109 Diab manage trn ind/group



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