November 16, 2023
Question:
Is it best practice to bill 99202-99215 based on time only?
Answer:
CPT Codes 99202 to 99215, history and physical examination will no longer be a key factor in determining your level of coding. Instead, coding will be dependent on:
- Levels of medical decision making applied during the service OR
- Total time spent on the visit.
Providers can choose which component they would like to use as long as the documentation supports the code applied.
Reporting time is an option when selecting the level of Evaluation and Management service whether or not counseling or coordination of care dominates the service. Time is calculated as the total time spent personally by the provider and/or QHP on the date of the encounter this includes both face-to-face and non-face-to-face time.
| CPT Code | Total Time |
| 99202 | 15-29 mins |
| 99203 | 30-44 mins |
| 99204 | 45-59 mins |
| 99205 | 60-74 mins |
| 99211 | 0-9 mins |
| 99212 | 10-19 mins |
| 99213 | 20-29 mins |
| 99214 | 30-39 mins |
| 99215 | 40-54 mins |
*This response is based on the best information available as of 11/16/23.
