| Level | History | Exam | Medical Decision Making | Time |
|---|---|---|---|---|
| Established patient office visit (2 of 3) | ||||
| 99211 | MD presence not required | |||
| 99212 | Problem focused | Problem focused | Straightforward | 10 min |
| 99213 | Extended problem focused | Extended problem focused | Low | 15 min |
| 99214 | Detailed | Detailed | Moderate | 25 min |
| 99215 | Comprehensive | Comprehensive | High | 40 min |
| New patient office visit (3 of 3) | ||||
| 99201 | Problem focused | Problem focused | Straightforward | 10 min |
| 99202 | Extended problem focused | Extended problem focused | Straightforward | 20 min |
| 99203 | Detailed | Detailed | Low | 30 min |
| 99204 | Comprehensive | Comprehensive | Moderate | 45 min |
| 99205 | Comprehensive | Comprehensive | High | 60 min |
| Emergency care visit (3 of 3) | ||||
| 99281 | Problem focused | Problem focused | Straightforward | n/a |
| 99282 | Extended problem focused | Extended problem focused | Low | n/a |
| 99283 | Extended problem focused | Extended problem focused | Moderate | n/a |
| 99284 | Detailed | Detailed | Moderate | n/a |
| 99285 | Comprehensive | Comprehensive | High | n/a |
| Inpatient consultation (3 of 3) | ||||
| 99251 | Problem focused | Problem focused | Straightforward | 20 min |
| 99252 | Extended problem focused | Extended problem focused | Straightforward | 40 min |
| 99253 | Detailed | Detailed | Low | 55 min |
| 99254 | Comprehensive | Comprehensive | Moderate | 80 min |
| 99255 | Comprehensive | Comprehensive | High | 110 min |
| Initial Hospital Visit, Initial Observation, Observation Same Day Discharge (3 of 3) | ||||
| 99221 99218 99234 | Detailed | Detailed | Straightforward | 30 min |
| 99222 99219 99235 | Comprehensive | Comprehensive | Moderate | 50 min |
| 99223 99220 99236 | Comprehensive | Comprehensive | High | 70 min |
| Subsequent Hospital Visit (2 of 3) | ||||
| 99231 | Problem focused | Problem focused | Straightforward | 15 min |
| 99232 | Extended problem focused | Extended problem focused | Moderate | 25 min |
| 99233 | Detailed | Detailed | High | 35 min |
| Initial Nursing Facility Care (3 of 3) | ||||
| 99304 | Detailed | Detailed | Low | 25 min |
| 99305 | Comprehensive | Comprehensive | Moderate | 35 min |
| 99306 | Comprehensive | Comprehensive | High | 45 min |
| Subsequent Nursing Facility Care (2 of 3) | ||||
| 99307 | Problem focused | Problem focused | Straightforward | 10 min |
| 99308 | Extended problem focused | Extended problem focused | Low | 15 min |
| 99309 | Detailed | Detailed | Moderate | 25 min |
| 99310 | Comprehensive | Comprehensive | Moderate | 35 min |
| Level | History | Exam | Medical Decision Making | Time | Level | History | Exam | Medical Decision Making | Time |
|---|---|---|---|---|---|---|---|---|---|
| Office/Outpatient | |||||||||
| New patient office visit (3 of 3) | Established patient office visit (2 of 3) | ||||||||
| 99201 | Problem focused | Problem focused | Straightforward | 10 min | 99211 | MD presence not required | |||
| 99202 | Extended problem focused | Extended problem focused | Straightforward | 20 min | 99212 | Problem focused | Problem focused | Straightforward | 10 min | 99203 | Detailed | Detailed | Low | 30 min | 99213 | Extended problem focused | Extended problem focused | Low | 15 min |
| 99204 | Comprehensive | Comprehensive | Moderate | 45 min | 99214 | Detailed | Detailed | Moderate | 25 min |
| 99205 | Comprehensive | Comprehensive | High | 60 min | 99215 | Comprehensive | Comprehensive | High | 40 min |
| Inpatient/Observation | |||||||||
| Initial Hospital Visit, Initial Observation, Observation Same Day Discharge (3 of 3) | Subsequent Hospital Visit (2 of 3) | ||||||||
| 99221 99218 99234 | Detailed | Detailed | Straightforward | 30 min | 99231 | Problem focused | Problem focused | Straightforward | 15 min |
| 99222 99219 99235 | Comprehensive | Comprehensive | Moderate | 50 min | 99232 | Extended problem focused | Extended problem focused | Moderate | 25 min |
| 99223 99220 99236 | Comprehensive | Comprehensive | High | 70 min | 99233 | Detailed | Detailed | High | 35 min |
| Nursing Facility | |||||||||
| Initial Nursing Facility Care (3 of 3) | Subsequent Nursing Facility Care (2 of 3) | ||||||||
| 99304 | Detailed | Detailed | Low | 25 min | 99307 | Problem focused | Problem focused | Straightforward | 10 min |
| 99305 | Comprehensive | Comprehensive | Moderate | 35 min | 99308 | Extended problem focused | Extended problem focused | Low | 15 min |
| 99306 | Comprehensive | Comprehensive | High | 45 min | 99309 | Detailed | Detailed | Moderate | 25 min |
| 99310 | Comprehensive | Comprehensive | Moderate | 35 min | |||||