Element 1: Problems Addressed

Office/Outpatient E/M CPT Code

1) Number and Complexity of Problems Addressed

99211

Not applicable

99202

99212

Minimal

1 self-limited or minor problem

99203

99213

Low

2 or more self-limited or minor problems; 

-or- 

1 stable chronic illness; 

-or-

1 acute, uncomplicated illness or injury

99204

99214

Moderate

1 or more chronic illnesses with exacerbation, progression, or side effects of treatment;

-or-

2 or more stable chronic illnesses;

-or-

1 undiagnosed new problem with uncertain prognosis;

-or-

1 acute illness with systemic symptoms;

-or-

1 acute complicated injury

99205

99215

High

1 or more chronic illnesses with severe exacerbation, progression, or side effects of treatment;

-or-

1 acute or chronic illness or injury that poses a threat to life or bodily function