Consultations  office/outpatient (meet or exceed all 3 elements) 
History

Exam

Decision Making

Code

Problem focused:CC, HPI 13 
Problem focused:1 body system 
Straight forward:Dx = Min;Data = Min/0; Risk = Min 
99241 
Expanded problem focused:CC, HPI 13, ROS 1 
Expanded problem focused:affected area & others 
Straight forward:Dx = Min;Data = Min/0; Risk = Min 
99242 
Detailed:CC, HPI 4,ROS 29, PFSH 1 
Detailed:7 systems 
Low:Dx = Ltd;Data = Ltd; Risk = Low 
99243 
Comprehensive:CC, HPI 4+,ROS 10, PFSH 3 
Comprehensive:8 systems 
Moderate:Dx = Multi,Data = Mod, Risk = Mod 
99244 
Comprehensive:CC, HPI 4+,ROS 10+, PFSH 3 
Comprehensive:8 systems 
High:Dx = Ext,Data = Ext, Risk = High 
99245 

Initial Office/Outpatient (meet or exceed all 3 elements) 
History

Exam

Decision Making

Code

Problem focused:CC, HPI 13 
Problem focused:1 body system 
Straight forward:Dx=Min; Data=Min/0; Risk=Min 
99201 
Expanded Problem focused:CC, HPI 13, ROS 1 
Expanded Problem focused:affected areas and others 
Straight forward:Dx = Min;Data = Min/0; Risk = Min 
99202 
Detailed:CC, HPI 4, ROS 29; PFSH 1 
Detailed:7 systems 
Low:Dx = Ltd;Data = Ltd; Risk = Low 
99203 
Comprehensive:CC, HPI 4+,ROS 10+, PFSH 3 
Comprehensive:8 or more systems 
Moderate:Dx = Multi,Data = Mod, Risk = Mod 
99204 
Comprehensive:CC, HPI 4+,ROS 10+, PFSH 3 
Comprehensive:8 or more systems 
High:Dx = Ext,Data = Ext, Risk = High 
99205 

Subsequent Office/Outpatient (meet or exceed 2 of 3 elements) 
History

Exam

Decision Making

Code

Problem focused:n/a 
Problem focused:n/a 
Straight forward:n/a 
99211 
Problem focused:CC, HPI 13 
Problem focused:1 system 
Straight forward:Dx = Min;Data = Min/0; Risk = Min 
99212 
Expanded problem focused:CC, HPI 13, ROS 1 
Expanded problem focused:affected area & others 
Low:Dx = Ltd;Data = Ltd; Risk = Low 
99213 
Detailed:CC, HPI 4,ROS 29, PFSH 1 
Detailed:7 systems 
Moderate:Dx = Multi,Data = Mod, Risk = Mod 
99214 
Comprehensive:CC, HPI 4+,ROS 10+, PFSH 2 
Comprehensive:8 or more systems 
High:Dx = Ext,Data = Ext, Risk = High 
99215 

