CPT procedure code
CPT 99242: Office consultation, low MDM, 30 min (commercial)
Procedure code with common scenarios, denial patterns, and appeal guidance.
Code
99242
Category
EM
Common scenarios
- Office consult
- Office consultation
Common denial patterns
- Missing PA where required
- Wrong POS or modifier
Frequently asked questions
What is CPT 99242?
Office consultation, low MDM, 30 min (commercial)
When is it typically billed?
Office consult; Office consultation.
What are common denial reasons?
Missing PA where required; Wrong POS or modifier.
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