99251—The three following components are required:
• Problem-focused history
• Problem-focused examination
• Medical decision making that is straightforward
Presenting problem(s): Self-limited or minor
Typical time: 20 minutes at the bedside or on the patient’s floor or unit
99252—The three following components are required:
• Expanded problem-focused history
• Expanded problem-focused examination
• Medical decision making that is straightforward
Presenting problem(s): Low severity
Typical time: 40 minutes at the bedside or on the patient’s floor or unit
99253—The three following components are required:
• Detailed history
• Detailed examination
• Medical decision making of low complexity
Presenting problem(s): Moderate severity
Typical time: 55 minutes at the bedside or on the patient’s floor or unit
99254—The three following components are required:
• Comprehensive history
• Comprehensive examination
• Medical decision making of moderate complexity
Presenting problem(s): Moderate to high severity
Typical time: 80 minutes at the bedside or on the patient’s floor or unit
99255—The three following components are required:
• Comprehensive history
• Comprehensive examination
• Medical decision making of moderate complexity
Presenting problem(s): Moderate to high severity
Typical time: 110 minutes at the bedside or on the patient’s floor or unit
Emergency Department Services
No distinction is made between new and established patients in this setting. There
are no typical times provided for emergency E/M services
99281—The three following components are required:
• Problem-focused history
• Problem-focused examination
• Medical decision making that is straightforward
Presenting problem(s): Self-limited or minor
