Here are the critical components of using CPT code 99215 at your medical practice.
Question: Some doctors in other practices will code Medicare patients with a level 5, 99215, when they do a complete history and physical. They justify it by saying they’ve done what it takes to qualify for this level of service. What is the current thinking on this practice?
Answer: If you do a level 5, you code a level 5. Just make sure you know what is required and that it’s all documented. A “complete history and physical” may or may not count.
Specifically, a 99215 requires two of these three components:
Optimize your practice with the Physicians Practice newsletter, offering management pearls, leadership tips, and business strategies tailored for practice administrators and physicians of any specialty.