99215 Insurance Policy Changes

CPT 99215, in plain terms, covers A doctor's office visit for an established patient involving a high level of medical decision-making and about 40 minutes of care. CPT 99215 is referenced in 50 tracked payer policy changes from CareSource, NC Medicaid - NCDHHS, and 22 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 99215 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 99215 on AAPC