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Cpt 99213 is for an office or other outpatient visit for the evaluation & management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 15 minutes face-to-face with the patient and/or family.

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What does 99213 CPT Code stand for?

CPT 99213 stands for "Established Patient Office Visit" and is one of the most frequently used medical Evaluation and Management (E/M) codes.


Can you use modifier 21 with CPT 99213?

no


What modifer do you use with cpt 99213?

When using CPT code 99213, the most common modifier is -25, which indicates that a significant, separately identifiable evaluation and management service was provided on the same day as another procedure or service. This modifier is essential when billing for a visit that includes both a problem-focused exam and additional services, ensuring that the E/M services are appropriately reimbursed. Other modifiers may be used depending on specific circumstances, but -25 is the primary one associated with 99213.


What CPT codes are used for an established patient office visit?

99211, 99212, 99213, 99214, or 99215


What is the difference between 99203 and 99213 cpt codes?

99203 is an initial comprehensive Examination 99213 is a comparative or reevaluation, less comprehensive, in that it re-evaluates the previous positives unless there is new injury.