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 73120

Related Codes

CodeDescription
73110Radiologic examination, finger(s); 1 or more views
73130Radiologic examination, hand; 3 or more views
73140Radiologic examination, hand; complete, minimum of 6 views
73150Radiologic examination, thumb(s); 2 or more views
73160Radiologic examination, wrist; complete, minimum of 3 views

Commonly Billed With

CPT code 73120 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
  • 20600 - Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes)
  • 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: Wrist Pain Evaluation

A patient presents with persistent wrist pain following a fall. CPT code 73120 may be used to evaluate the wrist for possible fractures.

Scenario 2: Follow-up after Cast Removal

After removal of a cast for a previous wrist injury, CPT code 73120 can be used to assess the healing progress and ensure no further complications.

Scenario 3: Monitoring Arthritis Progression

In cases of arthritis affecting the wrist joint, regular radiologic examinations using CPT code 73120 can help monitor disease progression.

FAQs

Can CPT code 73120 be used for both wrists?

Yes, CPT code 73120 can be reported separately for each wrist if both require imaging studies.

Is prior authorization required for CPT code 73120?

Prior authorization requirements vary by insurance provider. It is recommended to check with the specific payer before performing the procedure.

What is the typical duration of a wrist radiologic examination using CPT code 73120?

The duration can vary depending on the facility and patient factors but typically takes around 15-30 minutes.

Are there any specific positioning requirements for CPT code 73120?

Proper positioning is crucial for accurate imaging. The radiologic technologist will ensure correct placement for optimal results.

h4>Can additional views be taken during a wrist radiologic examination with CPT code 73120?

If additional views are necessary for a comprehensive assessment, they can be performed and reported separately as additional codes.

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