What You Should Know About The CPT Code 99214
There are several important things that people should know about the CPT code 99214. This is a special medical billing code that is used by providers when attempting to retrieve payment from insurance companies. These details must be correctly entered onto their requests for payment or insurers will not honor them. All codes are specific to the services that are rendered, the patient issues that are being addressed and all other extenuating circumstances.
This particular bit of information refers to an outpatient or office visit and is actually very generalized when compared to other codes. It is for the management and evaluation of an established patient. In spite of its general nature, however, the need to use this as a reference should only come about a specific number of times throughout the duration of the insured's policy.
Recent changes to the coding system have allowed for a number of add ons. These help to further define the nature of the visit and the specific services that are rendered so that providers become much more likely to receive the sought after approvals. The job of a medical billing specialist is therefore a highly technical one and it requires these professionals to have a comprehensive understanding of medical terminology among other things.
It is usually necessary for invoices to have several additional add ons in order to be honored. These will detail the specific issues that were addressed along with any patient needs that were relevant to the examination or treatment. In this way, this system is used to ensure that neither providers nor patients are abusing coverage.
There are several requirements that must be met when these submissions are made, particularly in terms of managed care for established patient. These requirements include an accurate report of all findings, details of any diagnosis that was made, identification for the patient, the service provider and the date of service among other things. If any of these details are missing, payment will likely be denied and billing specialist will have to submit an appeal in order to restart this process and revise prior submissions.
Although CPT code 99214 would seem to apply to a very broad range of treatment types and medical visits, this information is not sufficient for requesting or receiving payment. Providers must submit detailed patient and visit information along with several add on codes that serve to further describe the related processes and findings. Without this information, doctors will be unable to receive payments from the insurance companies of their patients.