CPT-Code 99220: Praxisbesuch für bestehende Patienten (moderate MDM)

CPT 99220: Office or other outpatient visit for the evaluation and management of an established patient, requiring a medically appropriate history and/or examination and moderate-complexity medical decision making. Typical face-to-face time: 10–19 minutes.

Key Points

• Patient Status: Established (seen by same provider/group within 3 years).
• Complexity: Moderate MDM (number/complexity of problems, data reviewed, risk).
• Time: 10–19 minutes total face-to-face (if time-based coding).
• Typical Use: Follow-up visits for stable chronic conditions, medication management, or new minor problems.

Documentation must support the level of history, exam, and MDM—or total time if time-based. Not for new patients.