Below is a review of the routine office visits and the documentation needed to code correctly.
99202 (3/3 of the following)
Expanded problem-focused history
Expanded problem-focused exam
Straightforward MDM
99203 (3/3 of the following)
Detailed history
Detailed exam
Low-complexity MDM
99204 (3/3 of the following)
Comprehensive history
Comprehensive exam
Moderate-complexity MDM
99205 (3/3 of the following)
Comprehensive history
Comprehensive exam
High-complexity MDM
99212 (2/3 of the following)
Problem-focused history
Problem-focused exam
Straightforward MDM
99213 (2/3 of the following)
Expanded problem-focused history
Expanded-problem-focused exam
Low-complexity MDM
99214 (2/3 of the following)
Detailed history
Detailed exam
Moderate complexity MDM
99215 (2/3 of the following)
Comprehensive history
Comprehensive exam
High-complexity MDM
Medical Coding and Billing For Residents 