CPT 99215
Evaluation and ManagementExtended doctor's visit for an established patient with complex or severe health problems
$225
Federal baseline rate
$300 - $700
Typical facility range
$200 - $500
Outpatient/clinic range
Official Description
Office or other outpatient visit, established patient, high complexity
Common Billing Errors
Watch for these issues when reviewing your bill
- Upcoded from lower complexity visits
- Insufficient documentation for high complexity
- Used for routine follow-ups
What to Look For
Tips for reviewing this charge on your bill
- Verify high complexity or severe conditions documented
- Check if 40+ minutes spent with patient
- Ensure multiple chronic conditions or significant risk
How to Dispute This Charge
- 1
Request an Itemized Bill
Ask your provider for a detailed bill showing all CPT codes and individual charges.
- 2
Compare to Typical Costs
Check if your charge falls within the typical range. Excessive charges may be negotiable.
- 3
Check for Errors
Review the common billing errors listed above and verify the service was actually performed.
- 4
Generate a Dispute Letter
Use our free tool to create a professional dispute letter citing specific concerns.
Quick Facts
Category
Evaluation and Management
CPT Code
99215
Medicare Rate
$225
Related CPT Codes
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