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CPT Code 99204: Moderate-Complexity New Patient Visits Designed for moderate-complexity cases, this code is used when the provider manages one or more chronic conditions or when diagnosis requires moderate effort

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Per CMS Medicare billing guidance for intraarticular injections and CMS NCCI Policy Manual Chapter IV effective January 1, 2026, confirmation of imaging guidance status (performed or not performed) is a documentation requirement distinct from the procedure description itself