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Home/Diagnosis/ICD-10 Coding for Office Visit

ICD-10 Coding for Office Visit

99202
99211

Complete ICD-10-CM coding and documentation guide for icd-10 coding for office visit includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Outpatient Visit
Clinic Visit
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Key Information: ICD-10 Coding for Office Visit

Essential facts and insights about ICD-10 Coding for Office Visit

Use ICD-10 code 99202 for office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making., ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making.

Non-Billable
99202
Non-Billable

Diagnostic Criteria

  • • Patient is new to the practice.

Applicable To

  • • New patient visit

Important Notes

  • • Ensure the patient is truly new to the practice.

Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician.

Non-Billable
99211
Non-Billable

Applicable To

  • • Minimal service

Important Notes

  • • Ensure documentation supports the minimal nature of the visit.
Ancillary Codes

Additional codes that may be used with this diagnosis

80048

Basic metabolic panel

Use when lab tests are performed during the visit.

90471

Vaccine administration

Use when vaccines are administered during the visit.

Frequently Asked Questions

What is the ICD-10 code for an office visit?

The ICD-10 codes for office visits range from 99202 to 99215, covering both new and established patient visits based on complexity and time.

How do you code an office visit based on time?

Office visits can be coded based on total time spent, including pre-visit, face-to-face, and post-visit activities. Ensure documentation specifies these activities.

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