Physician

99203 – Usually the presenting problem(s) are of moderate severity and the
physician typically spends 30 minutes face-to-face with the patient and/or family.
E/M requires the following three key components:
o Detailed history.
o Detailed examination.
o Medical decision making of low complexity.
99204 – Usually the presenting problem(s) are of moderate to high severity and
the physician typically spends 45 minutes face-to-face with the patient and/or
family. E/M requires the following three key components:
o Comprehensive history.
o Comprehensive examination.
o Medical decision making of moderate complexity.
99205 – Usually the presenting problem(s) are of moderate to high severity and
the physician typically spends 60 minutes face-to-face with the patient and/or
family. E/M requires the following three key components:
o Comprehensive history.
o Comprehensive examination.
o Medical decision making of high complexity.
Where to Find Additional Information About the International Classification of Diseases, 9 th Edition,
Clinical Modification
To find additional information about ICD-9-CM, visit
http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/01_overview.asp on the
Centers for Medicare & Medicaid Services (CMS) website.
The ICD-9-CM CD-ROM is available from the U.S. Government Printing Office, U.S.
Government Bookstore:
At http://bookstore.gpo.gov on the Web; and
Telephone: (866) 512-1800.
Where to Find Additional Information About Current Procedural Terminology
To find additional information about CPT, visit http://www.ama-assn.org/ama/pub/physicianresources/solutions-managing-your-practice/coding-billing-insurance/cpt.shtml
on the Web.
The Current Procedural Terminology book is available from the American Medical
Association:
At http://www.amapress.org on the Web; and
Telephone: (800) 621-8335.
CPT only copyright 2008 American Medical Association. All rights reserved.
Medicare Physician Guide: A Resource for Residents, Practicing Physicians and Other Health Care Professionals 55