Most evaluation and management (E/M) services require a face-to-face visit between a patient and a physician or other qualified health care professional (QHP). Code 99211 is an exception.
The triangle symbol (▲) precedes code 99211 in 2022 because the previous code descriptor indicated the presenting problem(s) associated with the service are usually minimal. The code descriptor was changed because the type of problem addressed does not affect code selection for 99211. This code is reported for any office or other outpatient E/M service that does not require the presence of a physician or QHP. The problem may be minimal (eg, recheck to verify resolution of impetigo) or of higher complexity (eg, wound care).
The total relative value units (RVUs) (unadjusted for geographic locality) for code 99211 in a non-facility setting are 0.68, equating to about $27.20 if paid at $40 per RVU. In a facility setting, 0.26 RVUs ($10.40...