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 97016

Related Codes Table

CPT CodeDescription
97018Paraffin bath therapy
97022Whirlpool therapy
97150Therapeutic procedure, group (2 or more individuals)
97161Physical performance test or measurement (e.g., musculoskeletal, functional capacity), with written report; each 15 minutes
97750Physical performance test or measurement (e.g., musculoskeletal, functional capacity), with written report; each 15 minutes

Commonly Billed With

CPT code 97016 for vasopneumatic devices is commonly billed with physical therapy evaluation codes such as 97161 and therapeutic procedure codes like 97018.

Clinical Scenarios

Vasopneumatic Device for Edema Management

A patient with post-operative swelling in the lower extremity is prescribed the use of a vasopneumatic device to reduce edema.

Lymphedema Management with Vasopneumatic Therapy

A patient undergoing treatment for lymphedema receives vasopneumatic therapy sessions to improve lymphatic drainage.

Sports Injury Rehabilitation with Vasopneumatic Compression

An athlete recovering from a knee injury undergoes rehabilitation sessions that include vasopneumatic compression therapy to aid in recovery.

FAQs

Can vasopneumatic devices be used for pain management?

No, vasopneumatic devices are primarily used for edema management and improving circulation.

Are there specific CPT codes for different types of vasopneumatic devices?

No, CPT code 97016 covers the use of vasopneumatic devices regardless of the specific type or brand.

Is prior authorization required for billing CPT code 97016?

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

Can vasopneumatic therapy be performed by non-medical personnel?

No, vasopneumatic therapy should be administered by trained healthcare professionals to ensure safe and effective treatment.

Is there a maximum time limit for each session when billing CPT code 97016?

CPT code 97016 does not specify a maximum time limit per session, but the duration of therapy should be determined based on the patient's condition and treatment goals.

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