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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Search Results

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 90834

Related Codes Table

CodeDescription
90832Psychotherapy, 30 minutes with patient
90837Psychotherapy, 60 minutes with patient
90853Group psychotherapy (other than of a multiple-family group)
90839Psychotherapy for crisis; first 60 minutes
96127Brief emotional/behavioral assessment (eg, depression inventory)

Commonly Billed With

CPT code 90834 is commonly billed with evaluation and management codes such as 99213 (Office or other outpatient visit for the evaluation and management of an established patient).

Clinical Scenarios

Patient with Major Depressive Disorder

A psychiatrist provides psychotherapy to a patient diagnosed with major depressive disorder using CPT code 90834.

Anxiety Disorder Treatment

A psychologist conducts a 45-minute psychotherapy session with a patient suffering from an anxiety disorder utilizing CPT code 90834.

Trauma-focused Therapy Session

A licensed clinical social worker offers trauma-focused psychotherapy to a client using CPT code 90834.

FAQ Section

Can CPT code 90834 be used for family therapy sessions?

No, CPT code 90834 is specifically for individual psychotherapy sessions lasting 45 minutes.

Is prior authorization required for billing CPT code 90834?

Prior authorization requirements may vary depending on the insurance provider. It is recommended to check with the specific payer.

Can CPT code 90834 be used for telehealth services?

Yes, CPT code 90834 can be used for telehealth services when provided via an interactive audio and video telecommunications system.

What documentation is required when billing CPT code 90834?

Documentation should include the total time spent in psychotherapy, the therapeutic interventions used, and the patient's response to treatment.

Are there any age restrictions for using CPT code 90834?

CPT code 90834 can be used for patients of all ages who receive individual psychotherapy sessions lasting 45 minutes.

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