Patient Appointments

Question 1

Time required for a new patient

Answer 1

60 mins

Question 2

Time required for an established patient

Answer 2

15 minutes

Question 3

Time required for a comprehensive appointment

Answer 3

45 to 60 minutes

Question 4

Time required for preventative care

Answer 4

45 to 60 minutes

Question 5

Time required for an urgent appointment

Answer 5

20 minutes

Question 6

Time required for other entities

Answer 6

30 minutes

Question 7

What is the purpose of a new patient appointment?

Answer 7

Has not received services from the provider or same group/specialty within 3 years

Question 8

What is the purpose of an established patient appointment?

Answer 8

Received services from the same provider or same group within the 3 years

Question 9

What is the purpose of a comprehensive appointment?

Answer 9

New or established patient for a specified complaint at the highest coding level, multiple complaints, injuries, or worsening chronic conditions

Question 10

What is the purpose of a preventative care appointment?

Answer 10

Thorough review of body systems including preventative care and screenings

Question 11

What is the purpose of an urgent appointment?

Answer 11

Medically necessary within 24 hours

Question 12

What is the purpose of an appointment that falls under other entities?

Answer 12

Non-patient related such as depositions, sales, representatives, staff meetings, training

Question 13

What are the CPT coding guidelines numbers for new patients?

Answer 13

99201-99205

Question 14

Coding guideline for 99201

Answer 14

Problem focused history/exam

straightforward decision making

Question 15

Coding guideline for 99202

Answer 15

expanded-problem focused history/exam

straightforward decision making

Question 16

Coding guideline for 99203

Answer 16

detailed history/exam

low complexity decision making

Question 17

Coding guideline for 99204

Answer 17

comprehensive history/exam

moderate complexity decision making

Question 18

Coding guideline for 99205

Answer 18

comprehensive history/exam

high complexity decision making

Question 19

Problem focused examination

Answer 19

Limited examination of the affected body area or organ system

Question 20

Expanded problem focused examination

Answer 20

limited examination of the affected body area or organ system

and any other symptomatic or related body area(s) or organ system(s)

Question 21

detailed examination

Answer 21

extended examination of the affected body area(s) or organ system(s) and any other symptomatic or related body area(s) or organ system(s)

Question 22

comprehensive examination

Answer 22

general multi-system examination or complete examination of a single organ system and other symptomatic or related body areas or organ systems