99204 CPT Code Reimbursement

The reimbursement for the 99204 CPT code varies depending on the insurance provider, geographical location and the setting in which the service is provided. This code is typically associated with an office or outpatient visit, for the evaluation and management of a new patient. Detailed history and physical examination, along with medical decision making of moderate complexity, are a part of a service billed under this code. For accurate reimbursement, it’s important to consult the current Procedural Terminology (CPT) code book and check with the particular insurance provider.

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