CPT Code 99213: A Comprehensive Guide to Billing, Documentation, and Usage
CPT Code 99213 is widely used in healthcare billing for outpatient office visits and is one of the most common codes for established patient consultations. If you're a healthcare provider, medical biller, or practice manager, understanding how to properly use, document, and bill CPT 99213 is crucial for ensuring accurate claims and optimal reimbursement. 1. What is CPT Code 99213? CPT Code 99213 refers to office or outpatient visits for established patients that involve a moderate level of complexity. This code is typically used when a healthcare provider spends 15 minutes with a patient, providing evaluation and management services that are relatively straightforward but may require medical decision-making. The code falls under the evaluation and management (E/M) category, which is p...