CPT Codes for PCP's
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Office or Other Outpatient Services
99201 New Patient, brief 99215 Established Patient, extensive
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Primary Care Codes and Services
99327 New Patient, comprehensive
99328 New Patient, extensive
99334 Established Patient, brief
99335 Established Patient, moderate 99336 Established Patient, comprehensive
99337 Established Patient, extensive
Home Services
99341 New Patient, brief
99342 New Patient, limited
99343 New Patient, moderate
99344 New Patient, comprehensive
99345 New Patient, extensive
99347 Established Patient, brief
99348 Established Patient, moderate
99349 Established Patient, comprehensive
99350 Established Patient, extensive
99490 Chronic Care Management Service, 20 minutes
99495 Transitional Care Management Services within 14 days of discharge 99496 Transitional Care Management Services within 7
days of discharge
Wellness Visits
G0402 Welcome to Medicare visit G0438 Annual wellness visit
G0439 Annual wellness visit
For FQHC services furnished prior to 1/1/2011, primary care services include services identified by HCPCS code G0402 or the following revenue center codes:
0521 Clinic visit by member to RHC/FQHC
0522 Home visit by RHC/FQHC practitioner
0524 Visit by RHC/FQHC practitioner to a member, in a covered Part A stay at the SNF
0525 Visit by RHC/FQHC practitioner to a member in an SNF (not in a covered Part A stay) or NF or ICF MR or other residential
facility
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For RHC services, primary care services include services identified by HCPCS code G0402, G0438, G0439 or the following revenue center codes:
0521 Clinic visit by member to RHC/FQHC 0525 Visit by RHC/FQHC practitioner to a member in an SNF (not in a covered Part A stay) or NF or ICF MR or other residential facility
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