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 93005

Related Codes Table

CodeDescription
93000Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report
93010Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report
93040Rhythm ECG, one to three leads; tracing only, without interpretation and report
93042Rhythm ECG, one to three leads; with interpretation and report
93015Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report

Commonly Billed With

CPT code 93005 is commonly billed with CPT code 93010 for routine ECG with at least 12 leads.

Clinical Scenarios

Routine Health Check-up:

In a routine health check-up, a patient may undergo an ECG (CPT code 93005) to assess heart function.

Chest Pain Evaluation:

If a patient presents with chest pain, an ECG (CPT code 93005) may be performed to evaluate cardiac activity.

Pre-Surgical Assessment:

Prior to surgery, a patient may receive an ECG (CPT code 93005) as part of the pre-surgical assessment process.

FAQ

Is CPT code 93005 used for interpreting ECG results?

No, CPT code 93005 is for the recording of the ECG tracing only without interpretation.

Can CPT code 93005 be billed alongside other procedures?

Yes, CPT code 93005 can be billed along with other procedures as long as they are medically necessary and distinct services.

Is prior authorization required for CPT code 93005?

Prior authorization requirements vary by insurance provider, so it's important to check with the specific payer.

What is the difference between CPT codes 93000 and 93010?

CPT code 93000 includes interpretation and report in addition to the tracing, while CPT code 93010 is for tracing only without interpretation or report.

Are there any age restrictions for billing CPT code 93005?

CPT code 93005 does not have specific age restrictions and can be used for patients of all ages requiring an ECG tracing.

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