Can I submit an established patient code if the minimal documentation requirements are not met for a new patient code?

Answer:
No. If the minimal documentation requirements are not met for a new patient (CPT codes 99200-99205), the provider must submit the unlisted Evaluation and Management (E/M) CPT code 99499 with supporting documentation.

You may not use established patient codes 
(CPT codes 99211-99215) for new patients when the minimum documentation requirements are not met either. 

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