AMA License
Warning: You are using IE 7 or below. You may also be using compatibility mode. Our site was not designed to run in IE 7 or below but you can still continue to use it. To disable compatibility mode - View our Instructions.
  • palmettogba.com
  • eServices Login
  • Events
  • Listserv Signup
  • Contact Us
palmetto gba JJB_CMYK_H.svg
  • News
    Please Wait...
  • Topics
    Please Wait...
  • Topics
    • Basics for Medicare
    • Browse by Specialty
    • Browse by Topic
    • CERT
    • CMS News
    • EDI
    • Education
    • eServices Portal
    • E/M Help Center
    • Fee Schedules
    • Medical Policies
    • Medical Review
    • Medicare Beneficiary Identifier (MBI)
    • Publications
    • Resources
    • Take Our Satisfaction Survey and See the Results

  • Forms/Tools
    • formspMedicare Forms
    • 277CA Edit Lookup ToolrlaunchACE Smart Edit Look-Up ToolrlaunchAcronym/Terminology IndexADR Response CalculatorrlaunchAppeals CalculatorrlaunchBasics for MedicarerlaunchCharge Denial Rate CalculatorrlaunchCMS 1500 Claim Form (02/12)rlaunchDenial ResolutionEDI Enrollment Instructions Guide ModulerlaunchEDI Online EnrollmentrlaunchEDI System StatusrlaunchEnrollment Application FinderrlaunchEnrollment Application Status LookuprlauncheServices PortalrlaunchFormsFrequently Asked QuestionsGlobal Surgery CalculatorrlaunchIncident To Self-Service ToolrlaunchInteractive ABNrlaunchInteractive Remittance AdvicerlaunchIVR Conversion ToolrlaunchMedicare Advantage Plan DirectoryMedicare Physician Fee Schedule ToolrlaunchModifier LookupMSP CalculatorrlaunchMSP LookuprlaunchNational Correct Coding Initiative (NCCI) ToolrlaunchOnline ERN (ERA) / Report Restore FormrlaunchOverpayment Interest CalculatorrlaunchPhone Numbers, Emails and AddressesProvider Address Job AidReason/Remark Code LookuprlaunchRedetermination Status Toolrlaunch
  • Education
    • Education Information Page
        
                                                      search                                            
       
  1. palmettogba.com
  2. JJ Part B
  3. Browse by Topic
  4. Frequently Asked Questions
  5. EM
plogo

© 2021 Palmetto GBA, LLC

We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.

Published Date:12/30/2020

Printed Date: 9/22/2015

URL: http://palmgba.com/marlowe/redesign6/article.html

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

Related Articles

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. 

Jump to:

help Was this article helpful?

We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.

That's great!

We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.

They can't all be winners right?

We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.

  • Try these similar articles:
  • Our Search Engine has found:

Last Updated: 12/30/2020

share share share

Contact Palmetto GBA JJ Part B Medicare

Provider Contact Center: 877-567-7271

Email JJ Part B

Contact a specific JJ Part B department


Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

© 2021 Palmetto GBA, LLC.

Get Adobe Reader

Get ByteScout Free Microsoft Excel Viewer

Privacy Policy

Site Help

Site Map

Site Help

Minimum Requirements

Legal Disclaimer


cms
Click to Chat Now

Contact Us


Page Not Found. Our New Website: https://www.palmettogba.com

We've recently uppgraded our website and it looks you're trying to access an old link. Please select an option below.

Attempt to load this page on new site

Go to Jurisdiction J Part B Home page

Go to Jurisdiction J Part B Contact Us page

This link may not exist on our new site. Please review the information below from our old site. It was current up until 12/30/2020. Please note: It is possible we have removed this information, so please review the new website by clicking on the link above.

View a related article: