CPT procedure code
CPT 99204: Office visit, new patient, 45-59 min
Procedure code with common scenarios, denial patterns, and appeal guidance.
Code
99204
Category
EM
Common scenarios
- New patient complex evaluation
Common denial patterns
- Downcoded to 99203 if documentation insufficient
Frequently asked questions
What is CPT 99204?
Office visit, new patient, 45-59 min
When is it typically billed?
New patient complex evaluation.
What are common denial reasons?
Downcoded to 99203 if documentation insufficient.
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