99252 Insurance Policy Changes

CPT 99252, in plain terms, covers A doctor evaluates a new or established patient at a basic complexity level, spending about 35 minutes on the visit. CPT 99252 is referenced in 4 tracked payer policy changes from CareSource, Nevada Medicaid, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 99252 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 99252 on AAPC