What is the correct code for a single outpatient visit that requires a low level of medical decision making?

The appropriate code for a single outpatient visit that necessitates a low level of medical decision making is 99212. This Current Procedural Terminology (CPT) code is utilized for established patient visits that involve a problem-focused or expanded problem-focused history and examination, coupled with straightforward medical decision making.

In outpatient settings, the levels of service are classified based on the complexity of the visit, which includes the extent of history taken, examination performed, and the complexity of medical decision making. For a visit characterized by low complexity, coding 99212 indicates that the patient has stable chronic conditions or uncomplicated problems, maintaining the low level of decision making involved.

This classifier helps healthcare providers communicate the nature of the visit for reimbursement purposes and to document care effectively. Understanding the nuances of these codes is essential for accurate billing and optimal reimbursement.