Established Patient Office Visit – Minimal Service

CPT Code: 99212

Description: This code is used for brief office visits with established patients—typically lasting around 10 minutes. It generally requires a problem-focused history and exam with straightforward MDM.

Key Components:

• History: Problem-focused
• Examination: Problem-focused
• Medical Decision Making: Straightforward

This code is appropriate for simple follow-up visits or minor issues.

Documentation Tips:

• Keep your notes concise while capturing the essentials.
• Record the total time if it supports the minimal nature of the visit.
• Include any additional counseling or coordination if performed.

Double-check current guidelines to ensure accurate documentation.