99245 CPT Code: 2026 Billing, Documentation, MDM, Time, and Payer Rules

The 99245 CPT code is the highest-level office or other outpatient consultation for a new or established patient. Code selection requires high medical decision making, or at least 55 minutes of total physician or qualified health professional time on the date of the encounter. Traditional Medicare does not recognize outpatient consultation codes for Part B […]