Which CPT code is part of Established Patient E/M codes?

Which CPT code is part of Established Patient E/M codes?

• A. 99202
• B. 99212
• C. 99203
• D. 99205

Answer: (B)

In CPT coding, the distinction between established and new patients drives which set of office visit codes you use. An established patient is someone with whom the clinician has an ongoing relationship from prior encounters. The code that represents an established patient office visit at a level 2 is used when the visit involves a problem-focused history, a problem-focused exam, and straightforward medical decision making. That combination fits a level 2 established-patient encounter and is why this code is the correct choice for established-patient E/M visits. The other options are codes used for new patients, which start with higher levels of history, exam, and medical decision making, reflecting a different category of patient without an established care relationship.

In CPT coding, the distinction between established and new patients drives which set of office visit codes you use. An established patient is someone with whom the clinician has an ongoing relationship from prior encounters. The code that represents an established patient office visit at a level 2 is used when the visit involves a problem-focused history, a problem-focused exam, and straightforward medical decision making. That combination fits a level 2 established-patient encounter and is why this code is the correct choice for established-patient E/M visits. The other options are codes used for new patients, which start with higher levels of history, exam, and medical decision making, reflecting a different category of patient without an established care relationship.