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 94729

Related Codes Table

CodeDescription
94726Diffusing capacity (e.g., carbon monoxide, membrane)
94727Diffusing capacity (e.g., carbon monoxide, membrane); including measurement of single breath carbon monoxide diffusing capacity (DLCO) and diffusing capacity of the alveolar-capillary membrane (DM)
94728Diffusing capacity (e.g., carbon monoxide, membrane); including measurement of DLCO and DM with multiple determination of DLCO (e.g., serial or simultaneous testing)
94730Pulmonary stress testing (e.g., high frequency ventilation, maximal expiratory pressure determination)
94731Pulmonary stress testing; simple (e.g., 6-minute walk test, prolonged exercise test for bronchospasm with pre- and post-spirometry and oximetry)

Commonly Billed With

CPT code 94729 is commonly billed with codes such as 94010 (spirometry), 94620 (pulmonary stress testing), and 94799 (unlisted pulmonary service or procedure).

Clinical Scenarios

Scenario 1: Initial Evaluation

In this scenario, CPT code 94729 may be used for the initial evaluation of a patient with suspected pulmonary disease to assess their diffusing capacity.

Scenario 2: Monitoring Treatment Response

CPT code 94729 can also be utilized to monitor the response to treatment in patients with known pulmonary conditions by evaluating changes in diffusing capacity over time.

Scenario 3: Preoperative Assessment

Prior to certain surgeries, physicians may order a diffusing capacity test using CPT code 94729 to assess the patient's lung function before the procedure.

FAQ

Q: Can CPT code 94729 be used for routine screening?

A: No, CPT code 94729 is typically not used for routine screening but rather for diagnostic purposes.

Q: Is prior authorization required for billing CPT code 94729?

A: Prior authorization requirements may vary by insurance provider, so it is recommended to check with the specific payer.

Q: How often can CPT code 94729 be billed for the same patient?

A: The frequency of billing CPT code 94729 for the same patient is determined by medical necessity and provider documentation.

Q: Are there any age restrictions for using CPT code 94729?

A: There are no specific age restrictions associated with billing CPT code 94729; it can be used across various age groups based on clinical indications.

Q: Can modifier -59 be appended to CPT code 94729?

A: Modifier -59 should only be used if distinct procedural services are performed separately on the same day along with CPT code 94729.

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