CPT Code Lookup Tool

Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.

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99213

Office or other outpatient visit

Evaluation and management of an established patient...

Evaluation & Management Active RVU:
Important: This tool uses AI to assist with code lookups. While we strive for accuracy, AI can make mistakes. Always verify information with official coding resources before using in medical billing or clinical documentation.
S
CPT Code Status
Current Status: Active
Last Updated: January 1, 2023
Implementation Date: January 1, 1992

Information

This code is for use in medical billing and coding.

C
CPT Code Details
Code: 99213
Code Type: Category I
Code Format: 5-digit numeric

Information

This code is part of the section of CPT codes.

D
CPT Code Description

Office or other outpatient visit for the evaluation and management...

Note

This description reflects the 2021 E/M coding guidelines.

CA
Category & Classification
Category: Evaluation & Management
Subcategory: Office or Other Outpatient Services
Code Range: 99202-99215

Information

codes are used to report evaluation and management services provided in various settings.

RV
Relative Value Units
Total RVU: 2.46
Work RVU
1.30
Practice Expense
0.96
Malpractice
0.20

Information

RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.

MS
Medical Specialties
Common Specialties:
No specialty information available.

Information

This code is commonly used by primary care providers, but may be used by any specialty providing office visits.

M
Commonly Used Modifiers
Modifiers:
No modifier information available.

Information

Modifiers provide additional information about the service provided.

Detail About CPT 33254

Related Codes Table

CodeDescription
33255Operative tissue ablation and reconstruction of atria, extensive (e.g., Maze procedure), without cardiopulmonary bypass
33256Operative tissue ablation and reconstruction of atria, limited (e.g., modified Maze procedure), with cardiopulmonary bypass
33257Operative tissue ablation and reconstruction of atria, extensive (e.g., Maze procedure), with cardiopulmonary bypass
33258Operative tissue ablation and reconstruction of atria, limited (e.g., modified Maze procedure), without cardiopulmonary bypass; with pulmonary vein isolation (eg, PVI)
33259Operative tissue ablation and reconstruction of atria, extensive (e.g., Maze procedure), without cardiopulmonary bypass; with pulmonary vein isolation (eg, PVI)

Commonly Billed With

CPT 33254 is commonly billed with CPT codes 93650 for intraoperative mapping and 93656 for electrophysiological studies.

Clinical Scenarios

Patient with Atrial Fibrillation:

A patient with persistent atrial fibrillation undergoes CPT 33254 for atrial tissue ablation to restore normal heart rhythm.

Atrial Flutter Treatment:

CPT 33254 is performed on a patient with recurrent atrial flutter to eliminate abnormal electrical pathways in the heart.

Ablation for Atrial Tachycardia:

In cases of atrial tachycardia resistant to medication, CPT 33254 may be used to ablate the abnormal tissue causing the rapid heart rate.

FAQ

Is CPT 33254 used for open-heart surgery?

No, CPT 33254 involves tissue ablation and reconstruction of the atria without the use of cardiopulmonary bypass.

Can CPT 33254 be performed on pediatric patients?

CPT 33254 can be performed on pediatric patients when indicated for specific cardiac conditions.

Is CPT 33254 considered a high-risk procedure?

CPT 33254 is a specialized procedure that requires expertise in cardiac electrophysiology and may carry risks associated with cardiac surgery.

What is the typical recovery time after CPT 33254?

The recovery time after CPT 33254 varies depending on individual patient factors but generally involves a hospital stay followed by a period of monitored rest.

Are there any specific pre-operative requirements for CPT 33254?

Prior to undergoing CPT 33254, patients may need to undergo pre-operative testing such as imaging studies and blood work to assess their cardiac health.

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