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CPT Code <br /> <br />Home Services <br /> <br />Fee <br /> <br />New Patient <br />99341 40.00 <br /> <br />99342 42.00 <br /> <br />99343 80,00 <br /> <br />Established Patient <br /> <br />99351 32.00 <br /> <br />99352 40.00 <br /> <br />99353 46.00 <br /> <br />Other <br />58805 425.00 <br /> <br />58800 525.00 <br /> <br />11975 475.00 <br /> <br />11976 125.00 <br /> <br />575.00 <br /> <br />59841 250.00 <br />99082 150.00 <br /> <br />58943 650.00 <br /> <br />Procedure <br /> <br />Focused history and examination, Straightforward/iow <br />complexity medical decision <br /> <br />Expanded problem; focused history and examination, <br />Moderate complexity medical decision <br /> <br />Detailed history and examination, High complexity <br />medical decision <br /> <br />Problem focused interval history and examination, <br />Straightforward/low complexity medical decision <br /> <br />Expanded problem; focused interval history and <br />examination, Moderate complexity medical decision <br /> <br />Detailed interval history and examination, High <br />complexity medical decision <br /> <br />Drainage of ovarian cyst(s), unilateral or bilateral, <br />(separate procedure); abdominal approach <br /> <br />Drainage of ovarian cyst(s), unilateral or bilateral <br />(separate procedure); vaginal approach <br /> <br />Insertion procedure, Implantable contraceptive <br />capsules <br /> <br />Removal without reinser~lon, implantable contra- <br />cept~ve capsules <br /> <br />Removal and retnsertion, implantable contraceptive <br />capsules <br /> <br />Induced abortion, by dilation and evacuation <br /> <br />Unusual travel (eg., transportation and escort of <br />patienT) <br /> <br />Oophorectomy, partial or total, unilateral or bilateral <br /> <br />*Procedure codes and definitions are those of the 1992 edition of the AMA <br />Physician's Current Procedural Terminology code book and are subject to change <br />with each newly published edition of the book. <br /> <br />07/92 <br /> <br /> <br />