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 90750

Related Codes Table

CodeDescription
90750Shingrix vaccine, 2-dose schedule
90471Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections)
90472Each additional vaccine/toxoid (List separately in addition to code for primary procedure)
90473Immunization administration by intranasal or oral route; one vaccine (single or combination vaccine/toxoid)
90474Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid)

Commonly Billed With

CPT code 90750 is commonly billed with Z23 - Encounter for immunization.

Clinical Scenarios

Scenario 1: Initial dose of Shingrix vaccine

Billing CPT code 90750 for the first dose of the Shingrix vaccine.

Scenario 2: Second dose of Shingrix vaccine

Billing CPT code 90750 for the second dose of the Shingrix vaccine within the recommended schedule.

Scenario 3: Administration of other vaccines during the same visit

If administering other vaccines along with the Shingrix vaccine, use additional appropriate CPT codes for each.

FAQ

Can CPT code 90750 be used for a single dose?

No, CPT code 90750 specifically refers to the 2-dose schedule of the Shingrix vaccine.

Is there an age restriction for billing CPT code 90750?

No, there is no age restriction associated with billing CPT code 90750 for the Shingrix vaccine.

Can CPT code 90750 be used for Medicare patients?

Yes, Medicare covers the Shingrix vaccine and allows billing of CPT code 90750.

What diagnosis codes are commonly linked with CPT code 90750?

Zoster vaccination-related ICD-10 codes such as Z23 are commonly linked with CPT code 90750.

Are there any specific documentation requirements for billing CPT code 90750?

Providers should ensure proper documentation of the administration dates and dosage details for each dose of the Shingrix vaccine when billing CPT code 90750.

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