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 90700

Related Codes Table

CodeDescription
90701Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), for use in individuals younger than 7 years, for intramuscular use
90702Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use
90703Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, for use in individuals seven years or older, for intramuscular use
90704Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, when administered to individuals seven years or older, for intramuscular use
90705Measles virus vaccine live subcutaneous injection

Commonly Billed With

CPT code 90700 is commonly billed with evaluation and management codes such as 99213 or 99214 for the office visit where the vaccine administration occurs.

Clinical Scenarios

Diphtheria Vaccination:

In a pediatric clinic, a 3-year-old child receives the DTaP vaccine (CPT code 90700) as part of their routine immunization schedule.

Tetanus Toxoid Administration:

A 6-year-old patient presents to the emergency room after a minor injury and requires a tetanus toxoid booster shot (CPT code 90700).

Pertussis Immunization:

During a well-child visit, a 5-year-old is due for their final dose of the DTaP vaccine (CPT code 90700) to complete the series.

FAQ Section

Can CPT code 90700 be used for adults?

No, CPT code 90700 is specifically for individuals younger than 7 years old.

Is CPT code 90700 reported per vaccine component?

No, CPT code 90700 includes all components of the DTaP vaccine in a single administration.

What is the route of administration for CPT code 90700?

CPT code 90700 is for intramuscular use only.

Can additional counseling time be reported with CPT code 90700?

No, CPT code 90700 does not include separate reimbursement for counseling services.

h4>Are there specific diagnosis codes that must accompany CPT code 90700?

The appropriate ICD-10-CM diagnosis codes related to the reason for vaccination should be reported along with CPT code 90700.

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