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CPT 2025 <br />Code Fee <br />New patient; medically appropriate history/exam, straightforward decision- 99202 66.33$ <br />making; 15-29 minutes <br />New patient; medically appropriate history/exam; low level decision-making; 99203 103.42$ <br />30-44 minutes <br />Established patient; evaluation and management, may not require 99211 21.31$ <br />presence of physician; presenting problems are minimal <br />Established patient; medically appropriate history/exam, straightforward 99212 52.17$ <br />decision-making; 10-19 minutes <br />Established patient; medically appropriate history/exam; low level decision-99213 84.64$ <br />making; 20-29 minutes <br />Established patient; medically appropriate history/exam; moderate level 99214 119.25$ <br />decision-making; 30-39 minutes <br />Pelvic examination (list separately, in addition to primary procedure) (12)99459 19.17$ <br />Administration of a standardized, evidence-based Social Determinants of G0136 17.42$ <br />Health Risk assessment, 5-15 min., not more often than every 6 mos. <br />Community health integration services performed by certified or trained G0019 74.07$ <br />auxiliary personnel, including a community health worker, under the <br />direction of a physician or other practitioner; 60 min./calendar year <br />Community health integration services, each additional 30 min./calendar year G0022 46.27$ <br />Awaiting further guidance from NBCCEDP; fee schedule to be revised accordingly. (11) <br /> determine their usage for your facility. The following are the codes and definitions that apply: <br />G = Global - the all-inclusive fee for performing and interpreting the service. <br />TC = Technical Component - the fee for performing the service. <br />26 = Professional Component - the fee for interpreting the service. <br />Global and Split Fees <br />Physician Visits <br />Telehealth Visits <br />Telephone Visits (11) <br />Office Visits (10) <br />North Carolina Breast and Cervical Cancer Control Program <br />2025 Services Fee Schedule (1) <br />Both global and split fees apply to the breast and cervical procedures listed on this fee schedule. The method and direction of payment will <br />Docusign Envelope ID: 5E743756-FAB9-4264-90BB-2E7F1176312C