CPT 99204
Office/outpatient visit, new patient, moderate MDM (45-59 min)
CPT 99204 at a glance
- Code
- 99204
- Code type
- CPT
- Short descriptor
- Office/outpatient visit, new patient, moderate MDM (45-59 min)
- Category
- Clinic/Office – E&M Office Visit
- ASC eligibility
- Office / clinic-based
- Typical setting
- Physician office or clinic (POS 11).
What is CPT code 99204?
CPT 99204 is a CPT procedure code. Its official short descriptor is "Office/outpatient visit, new patient, moderate MDM (45-59 min)". In the ASC context it is grouped under Clinic/Office – E&M Office Visit.
Is CPT 99204 eligible in an ambulatory surgery center (ASC)?
CPT 99204 is typically performed in a physician office or clinic (place of service 11) rather than in an ambulatory surgery center.
Where is CPT 99204 typically performed?
Physician office or clinic (POS 11).
Which specialties use CPT 99204?
CPT 99204 is most associated with Clinic/Center – Primary Care, Family Medicine, General Practice, Internal Medicine, among others.
Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association.