CPT Codes for PCP's

Office or Other Outpatient Services

 

99201 New Patient, brief
99202 New Patient, limited
99203 New Patient, moderate
99204 New Patient, comprehensive 99205 New Patient, extensive
99211 Established Patient, brief
99212 Established Patient, limited
99213 Established Patient, moderate 99214 Established Patient, comprehensive

99215 Established Patient, extensive 

 

11 CPT is copyright 2019 American Medical Association. All rights reserved. 


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
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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