CPT Code 99244: Office or Other Outpatient Consultation

CPT code 99244 refers to an office or outpatient consultation for an established or new patient that requires moderate complexity medical decision making. It typically involves 40 minutes of face-to-face time with the patient and/or family.

CPT code 99245 is used for office or outpatient consultations requiring high-complexity medical decision-making. This service typically includes 55 minutes of face-to-face time with the patient and/or family.

CPT codes 99252 and 99253 fall under inpatient or observation consultations for new or established patients, but they differ in the complexity of their components and time spent. 99252 requires an expanded problem-focused history, an expanded problem-focused examination, and medical decision making of low complexity, typically involving 35 minutes of face-to-face time with the patient and/or family. In contrast, 99253 requires a detailed history, a detailed examination, and low complexity medical decision-making, typically requiring 45 minutes.