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 87661

Related Codes Table

CPT CodeDescription
87660Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique
87662Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique
87663Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, quantification
87664Infectious agent detection by nucleic acid (DNA or RNA); Ureaplasma urealyticum, amplified probe technique
87665Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique

Commonly Billed With

CPT code 87661 is commonly billed with consultation services (e.g., CPT codes 99241–99245) for comprehensive patient evaluation.

Clinical Scenarios

Scenario 1: Positive Trichomonas vaginalis Detection

A patient presents with symptoms of trichomoniasis. CPT code 87661 is used to confirm the presence of Trichomonas vaginalis through amplified probe technique.

Scenario 2: Follow-up Testing for Treatment Efficacy

After initiating treatment for trichomoniasis, CPT code 87661 may be used for follow-up testing to assess the effectiveness of the treatment.

Scenario 3: Screening in High-Risk Populations

In high-risk populations, such as pregnant individuals or those with multiple sexual partners, CPT code 87661 can be utilized for routine screening of Trichomonas vaginalis.

FAQ

Q: Can CPT code 87661 be used for other infectious agents?

A: No, CPT code 87661 specifically applies to the detection of Trichomonas vaginalis using amplified probe technique.

Q: Is prior authorization required for billing CPT code 87661?

A: Prior authorization requirements vary among payers. It is recommended to check with the specific insurance provider.

Q: What is the typical turnaround time for results with CPT code 87661?

A: Results from testing using CPT code 87661 are usually available within a few days, depending on the laboratory's processing time.

Q: Can CPT code 87661 be billed alongside other laboratory tests?

A: Yes, CPT code 87661 can be billed alongside other laboratory tests if medically necessary and supported by documentation.

Q: Are there any specific specimen collection requirements for CPT code 87661?

A: Proper specimen collection techniques must be followed to ensure accurate results. Refer to guidelines for sample collection and handling.

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