CPT 99215: High-Level Established Patient Office Visit

CPT 99215 reports an office/outpatient visit for an established patient requiring:

• Medically appropriate history and/or examination
• Medical decision-making of moderate complexity
• Typical time: 10–19 minutes of total encounter time (2021+ E/M guidelines)

Used for follow-up of multiple chronic conditions, new problem with moderate complexity, or acute illness requiring significant management. Documentation must support MDM level or time.