Billing code checklist
ProblemCoding errors cause denials, but coders must check documentation against code requirements by hand.
Considering CPT 99214 vs 99213 · summary of a follow-up visit (de-identified)
99214: moderate medical decision making (or 30–39 minutes total time on the date).
Missing: no documented total time; problems addressed are low complexity (1 stable chronic illness), and 99214 needs moderate in 2 of the 3 MDM elements.
Query: 'Was total time on the date of service documented?'
Immediate resultA documentation checklist for the codes you're considering, with what the note must show.


