Medicare Reimbursement 99213 2025. The 2025 pfs finalized many policies that cms proposed in july and solicited comments. Medicare reimburses physicians and other clinicians based on the physician fee schedule, which assigns payment rates for more than 10,000 health care services, such as.

Documentation supports a new patient level 4 e/m code, 99204. Understanding the specifics of cpt (current procedural terminology) codes is essential for accurate billing and ensuring that healthcare providers receive appropriate.