CPT code 99212 refers to a basic check-up appointment for someone who has been a patient at the clinic or office before. During this visit, the doctor will review any health concerns and decide on simple next steps.
Procedure Explanation:
This medical code represents a standard office visit where a doctor meets with a patient they already know. The doctor might ask questions about the patient’s health history and conduct a brief physical check-up. When deciding on the right code for this visit, the doctor’s total amount of time with the patient should be at least 10 minutes. This might include discussing the patient’s current concerns or simple decision-making about their treatment. If more time or complex decision-making is needed, it would likely involve a different code.
Common Names:
- Office Visit Level 2
- Established Patient Visit
- Basic Follow-Up Appointment
Relative Value Units (RVU):
The RVUs associated with this code are 0.7.
How This Procedure Appears:
- Operating Room Schedule Name: Not typically listed as it is an office visit, not a surgery.
- Surgical Consent Form Name: Not applicable for surgical consent forms as it is a non-surgical visit.
Typical Patients and Diagnoses:
This procedure is usually for patients who have been seen by the doctor before and might need a routine follow-up. For example, a person managing a long-term condition like diabetes might come in to discuss their recent blood sugar levels. Another example could be someone who recently had a cold coming back to make sure everything is back to normal.
Associated ICD-10 Codes:
- Z00.01: This code is used for a general check-up where blood pressure, weight, and other basic health stats are checked.
- E11.9: This represents a visit for a person managing type 2 diabetes without any complications during the visit.
- J02.9: This is used when a patient has a throat infection, like a sore throat, and comes to check if they need more treatment.
Summary
In summary, code 99212 describes a basic office visit for patients the doctor has seen before. Typical ICD-10 codes associated with 99212 include Z00.01 (general check-up) and E11.9 (type 2 diabetes management without complications).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.