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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Search Results

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 59350

Related Codes Table

CodeDescription
59351Cervical cerclage; vaginal approach
59352Cervical cerclage; cervical (transabdominal) approach
59355Removal of cerclage suture under anesthesia (other than local)
59510Insertion of cervical dilator (e.g., laminaria, prostaglandin)
59610Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision

Commonly Billed With

CPT 59350 is commonly billed with the following codes:

  • 59000 - Amniocentesis, diagnostic
  • 76805 - Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (e.g., for dating, viability)
  • 59812 - Cerclage of cervix during pregnancy (e.g., McDonald or Shirodkar)

Clinical Scenarios

Clinical Scenario 1:

A patient with a history of cervical insufficiency presents for a cervical cerclage procedure to prevent preterm birth.

Clinical Scenario 2:

A pregnant patient with a short cervix on ultrasound undergoes an abdominal cerclage placement to reduce the risk of premature delivery.

FAQs

Can CPT 59350 be reported for both abdominal and vaginal approaches?

No, CPT 59350 specifically describes the abdominal (extraperitoneal) approach only.

Is CPT 59350 used for both diagnostic and therapeutic procedures?

CPT 59350 is typically used for therapeutic procedures to prevent preterm birth in high-risk patients.

What is the global period for CPT 59350?

The global period for CPT 59350 is usually 90 days.

Are there any age restrictions for reporting CPT 59350?

No, there are no specific age restrictions associated with reporting CPT 59350.

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What documentation is required to support billing for CPT 59350?>

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The documentation should include the medical necessity for the procedure, patient history indicating the need for cerclage placement, and details of the surgical technique performed.>

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