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 73110

Related Codes Table

CPT CodeDescription
73115Radiologic examination, wrist; complete, minimum of 4 views
73120Radiologic examination, wrist; complete, minimum of 5 views
73130Radiologic examination, wrist; complete, minimum of 6 views
73140Radiologic examination, wrist; complete, minimum of 7 views
73150Radiologic examination, wrist; complete, minimum of 8 views

Commonly Billed With

CPT code 73110 is commonly billed with the following codes:

  • 25246 - Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation
  • 20550 - Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")
  • 99213 - Office or other outpatient visit for the evaluation and 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.

Clinical Scenarios

Scenario 1: Suspected Wrist Fracture

A patient presents with acute wrist pain after a fall. CPT code 73110 would be used to assess for any potential fractures.

Scenario 2: Chronic Wrist Pain Evaluation

A patient with chronic wrist pain is scheduled for a radiologic examination using CPT code 73110 to investigate the underlying cause.

Scenario 3: Post-Traumatic Wrist Assessment

Following a recent injury to the wrist, CPT code 73110 is utilized to evaluate the extent of damage and aid in treatment planning.

FAQs

Can CPT code 73110 be used for MRI examinations?

No, CPT code 73110 specifically refers to radiologic examinations and does not include MRI studies.

Is prior authorization required for billing CPT code 73110?

Prior authorization requirements may vary by insurance provider. It is advisable to check with the specific payer before proceeding with the procedure.

What is the difference between CPT codes 73110 and 73115?

The main difference lies in the number of views taken during the examination. CPT code 73110 requires a minimum of 3 views while code 73115 mandates a minimum of 4 views.

h4>Are there any age restrictions for using CPT code 73110?

p>CPT code 73110 can be used for patients of all ages who require a radiologic examination of the wrist.

h4>Can additional views be billed separately with CPT code 73110?

p>No, CPT code 73110 includes a complete examination with a minimum of three views. Additional views would require separate coding.

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