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 69433

Related Codes Table

CodeDescription
69436Tympanostomy (requiring insertion of ventilating tube), local anesthesia
69420Tympanostomy (requiring insertion of ventilating tube), office procedure
69424Tympanostomy (requiring insertion of ventilating tube), with myringotomy, unilateral
69433-50Bilateral procedure

Commonly Billed With

CPT code 69433 is commonly billed with CPT code 99100 for general anesthesia services.

Clinical Scenarios

Tympanostomy Procedure with Ventilating Tube Insertion

A 5-year-old child with recurrent ear infections undergoes tympanostomy with insertion of a ventilating tube under general anesthesia.

Bilateral Tympanostomy Procedures

A 40-year-old patient with chronic otitis media requires bilateral tympanostomy procedures with ventilating tube insertions.

Revision Tympanostomy Procedure

A 7-year-old child who had previous tympanostomy procedures now needs a revision surgery due to persistent middle ear effusion.

FAQs

Is general anesthesia always required for CPT code 69433?

General anesthesia is not always required; local anesthesia or office-based procedures are also options depending on the patient's condition.

Can CPT code 69433 be reported bilaterally?

Yes, you can report CPT code 69433 with modifier -50 for bilateral procedures when both ears require tympanostomy with ventilating tube insertion.

What is the typical age range for patients undergoing CPT code 69433?

Patients of various ages may undergo tympanostomy procedures, but it is more common in children experiencing recurrent ear infections.

Are there any specific documentation requirements for billing CPT code 69433?

Documentation should include the medical necessity for the procedure, details of the surgical approach, and indication for the ventilating tube insertion.

How often can CPT code 69433 be billed for the same patient?

The frequency of tympanostomy procedures with ventilating tube insertions is determined by medical necessity and the patient's condition; multiple procedures may be performed if clinically justified.

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