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.
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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.
Additional codes that may be used with this diagnosis
Basic metabolic panel
Use when lab tests are performed during the visit.
Vaccine administration
Use when vaccines are administered during the 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.
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.