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 94760

Related Codes Table

CodeDescription
94761Oxygen saturation measurement, multiple determinations
94762Noninvasive ear or pulse oximetry for oxygen saturation; single determination
94763Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations
94764Invasive ear or pulse oximetry for oxygen saturation, single determination
94765Invasive ear or pulse oximetry for oxygen saturation, multiple determinations

Commonly Billed With

CPT code 94760 is commonly billed with CPT codes 99281-99285 (Emergency department visit) and 36415 (Routine venipuncture).

Clinical Scenarios

Patient with respiratory distress:

In this scenario, CPT code 94760 may be used to monitor the patient's oxygen saturation levels.

Patient undergoing sleep study:

CPT code 94760 can be utilized during a sleep study to assess oxygen levels during different sleep stages.

Patient with chronic lung disease:

Oxygen saturation measurement using CPT code 94760 is crucial in managing patients with chronic lung conditions.

FAQ

Can CPT code 94760 be used for continuous monitoring?

No, CPT code 94760 is for a single determination of oxygen saturation.

Is physician supervision required for reporting CPT code 94760?

Yes, physician supervision is necessary when performing and reporting the measurement.

Can CPT code 94760 be reported separately from an office visit?

Yes, CPT code 94760 can be reported separately if it meets the criteria for separate reporting.

Are there specific documentation requirements for reporting CPT code 94760?

Documentation should include the method of measurement, equipment used, and the patient's condition necessitating the test.

What is the global period for CPT code 94760?

CPT code 94760 has a zero-day global period as it represents a single determination of oxygen saturation at a specific point in time.

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