99199 Unlisted special service procedures/rprt
Also known as: unlisted medicine code, miscellaneous medicine service
Unlisted special services, procedures, or reports. This code is used for reporting services that do not have a defined CPT code and require physician or provider documentation justifying medical necessity.
In Plain Language
Unusual medical service not covered by other codes; Special medical procedure or report
Clinical Context
Used when a physician or qualified health professional provides a service that falls outside standard CPT code definitions and requires individualized explanation for billing purposes.
RVU Information
CPT 99199 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
Medicine section codes cover a wide range of non-surgical services. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the Medicine category, 34% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code 99199?
CPT 99199 (Unlisted special service procedures/rprt) is a Medicine code. Unlisted special services, procedures, or reports. This code is used for reporting services that do not have a defined CPT code and require physician or provider documentation justifying medical necessity.
Who uses CPT code 99199?
CPT 99199 is used by Internal Medicine, Family Medicine, All Specialties. Used when a physician or qualified health professional provides a service that falls outside standard CPT code definitions and requires individualized explanation for billing purposes.
When is CPT 99199 used?
Used when a physician or qualified health professional provides a service that falls outside standard CPT code definitions and requires individualized explanation for billing purposes.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.