‹ Tools § Code Calc Outpatient
99231
Straightforward / Low
0.76 wRVU · ≥25m PDR
What gets you to a 3
Tap any element on the right to see what qualifies — its definition and examples.
a 2 · Moderate a 3 · High · tap an element → see it on the left · level = 2 of 3
① Problems addressed—
② Data reviewed—
Reviewed a prior external note0ⓘ
Reviewed a unique test result0ⓘ
Ordered a unique test0ⓘ

Data is category-based, not "highest item" — use − / + to count how many: Low = 2 tests/documents or a historian · Moderate = 3 (a historian counts as one), an independent interpretation, or an external discussion · High = any 2 of those.

③ Risk—
Tap the elements you addressed — the code updates live at the top, and the left panel shows what you need for a 3 and what each element means.

Educational aid for the 2021 office / outpatient E/M rules — not coding, legal, or compliance advice. Rules change and vary by payer; verify with your coders. Office visits may also be coded by total time (range shown). wRVU values approximate (CY2024).
Part of Med Topo · Tools.

Definition