Evaluation & Management Avg. $62

CPT 99201: Office Visit, New Patient, Minimal

An office or other outpatient visit for the evaluation and management of a new patient with minimal complexity. Straightforward self-limited problem. Typical time: 10-19 minutes.

Why CPT 99201 Claims Get Denied

Claims billed under CPT 99201 are frequently denied or downcoded for the following reasons. Understanding these patterns helps your practice reduce denial rates and recover revenue faster.

Insufficient new patient history

Patient not truly new

Under-documentation of problem

Coding when should be 99202

Billing Tips for CPT 99201

Verify 36-month lookback rule for new patient status. Document basic new patient history elements. Ensure straightforward nature of problem is documented.

Documentation Requirements

To support a clean claim for CPT 99201, your clinical documentation should include:

History of present illness

Basic past medical history

Basic family history

Basic social history

Focused physical examination

Straightforward decision making

Assessment and plan

Common Modifiers for CPT 99201

Modifier 25
Modifier 95

Reduce CPT 99201 Denials by 60%

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