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Providers default to 99212 because it feels "safe," but every visit that genuinely supports 99213 and gets billed as 99212 costs the practice $35 to $45 in lost revenue
The code descriptor is unchanged in 2026
Ethics declarations Competing interests SJW is the founder of Ridgeline Therapeutics, HN is a paid employee of Ridgeline Therapeutics and, since manuscript submission, ADW has also become a paid employee of Ridgeline Therapeutics
ASC (ambulatory) should be C9257 (0.25mg
US$ 28.95
US$ 27.96
US$ 20.41
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