CPT Code 99211: Office visit, established patient, minimal

Duration

5 min

Typical Fee

$25-$60

Type

Outpatient therapy

Note: Nurse visit level.

When to Use CPT 99211

Use CPT code 99211 when billing for office visit, established patient, minimal. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 99211 to a Superbill

When generating a superbill with CPT 99211, include the ICD-10 diagnosis code, date of service, fee charged, amount paid, and your NPI number. Superbilled pre-fills common therapy CPT codes automatically.

Common ICD-10 Pairings

These diagnosis codes are frequently used alongside CPT 99211:

F41.1 - Generalized anxiety disorder F32.9 - Major depressive disorder, single episode, unspecified Z09 - Encounter for follow-up exam after completed treatment

Documentation Requirements

This code may not require physician presence. Document the minimal service provided and supervision if performed by clinical staff.

Common Denial Reasons

✗ Service complexity exceeds the minimal threshold — should use 99212+
✗ Missing documentation of what minimal service was rendered
✗ Billed by a provider type that cannot use this code

Reimbursement Expectations

OON reimbursement is low, typically $12-$40. Most payers reimburse this at a nominal rate.

Related Guides

CPT Code 90837: Psychotherapy 60 Minutes Explained5 min read
How to Create a Superbill: Complete Guide8 min read
Telehealth Therapy Billing: CPT Codes, Modifiers, and Superbills6 min read

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