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 97010

Related Codes Table

CPT CodeDescription
97012Mechanical traction therapy
97110Therapeutic exercises
97140Manual therapy techniques
97124Massage, including effleurage, petrissage, and/or tapotement
97018Paraffin bath therapy

Commonly Billed With

CPT code 97010 is commonly billed with evaluation and management codes such as 99213 for office or other outpatient visits.

Clinical Scenarios

Scenario 1: Hot Pack Application

A patient with lower back pain receives a hot pack application (CPT code 97010) during their physical therapy session.

Scenario 2: Cold Pack Application

An athlete with a recent ankle sprain undergoes a cold pack application (CPT code 97010) to reduce swelling and pain.

Scenario 3: Multiple Area Applications

A patient recovering from a car accident receives hot pack applications (CPT code 97010) on their neck and shoulders simultaneously.

FAQ

Can CPT code 97010 be billed for both hot and cold pack applications?

Yes, CPT code 97010 can be billed for either hot or cold pack applications to one or more areas.

Is a physician's order required for billing CPT code 97010?

Yes, a physician's order is necessary to bill CPT code 97010 for hot or cold pack applications.

Are there any specific documentation requirements for CPT code 97010?

Providers must document the modality used (hot or cold pack), the areas treated, and the duration of application for accurate billing of CPT code 97010.

Can CPT code 97010 be billed alongside therapeutic exercises (97110)?

Yes, CPT code 97010 for hot or cold pack applications can be billed alongside therapeutic exercises (97110) if medically necessary and appropriately documented.

What is the typical duration of a hot or cold pack application for billing purposes?

The typical duration of a hot or cold pack application for billing CPT code 97010 is around 15 to 30 minutes per area treated.

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