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CPT Code* Fee Procedure <br /> <br /> Emergency Room Visit - New Patient <br /> 90505 $ 25.00 Brief (See definitions for levels of service below) <br /> 90510 40.00 Limited <br /> 90515 55.00 Intermediate <br /> 90517 75.00 Extended <br /> 90520 100.00 Comprehensive <br /> <br /> Emergency ROdS Visit - Established Patient <br /> 90560 25.00 Brief- (See definitions for levels of service below) <br /> 90550 30.00 Limited <br /> 90550 60.00 Intermediate <br /> 90570 60.00 Extended <br /> 90580 80.00 Comprehensive <br /> <br /> Definitions - Levels of Service* <br /> Brief -Evaluation and treatment requiring only an abbreviated history and <br /> <br /> Limited -Evaluation of acute illness or re-evaluation of a problem including <br /> interval history i exam, review of past medical <br /> diagnosis and treatment, or adjustment of therapeutic management. <br /> Intermediate-Evaluation of new or existing conditions with new diagnosis and <br /> treatment not necessarily related to primary diagnosis that requires <br /> history, tests~ diagnosis~ and/or ordering of appropriate <br /> therapeutic ~anagement. <br /> Extended -Requires unusual effort or judgment. Includes detailed history, <br /> review of medical records~ exam, conference with patient and/or <br /> family, or co~parable diagnosis and/or therapeutic services. <br />Comprehensive-Indepth evaluation with new or existing problem requiring <br /> development or re-evaluation of medical data. Includes family <br /> history, personal history, systems review, complete physical exam, <br /> diagnosis and treatment procedures. <br /> <br />*Procedure codes and definitions are those of the 1991 edition of the AF~ <br />Physician~s Current Procedural Terminology code book and are subject to change <br />with each newly published edition of the book. <br /> <br />07/91 <br /> - <br /> <br /> <br />