Which of the following codes would typically be reported in a clinic?

Prepare for the ICD-10-CPT Coding Exam. Study with flashcards and multiple choice questions, each backed by elucidative hints and explanations. Ace your certification easily!

The code 99214 corresponds to an established patient office or other outpatient visit that requires a medically appropriate history and/or examination and typically involves a moderate level of complexity in decision-making. This code is specifically designed for the outpatient setting, making it appropriate for use in a clinic environment where patients are usually seen for routine follow-up care or management of chronic conditions.

In contrast, the other codes listed are associated with different levels of service or specific circumstances that may not be as commonly encountered in a typical clinic visit. For example, codes like 99222 and 99225 relate to higher levels of service and may indicate more complex or time-consuming interactions, often found in inpatient or emergency settings. Code 99219 is associated with a lower level of service than what would generally be expected in a typical clinic visit.

Using 99214 allows healthcare providers in a clinic to adequately reflect the level of service provided for established patients, capturing not just the visit's complexity but also ensuring accurate reimbursement for the care delivered.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy