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 97810

Related Codes Table

CodeDescription
97811Acupuncture, one or more needles; with electrical stimulation
97813Acupuncture, one or more needles; with two or more anatomical sites needled
97814Acupuncture, one or more needles; with electrical stimulation and/or heat
97815Acupuncture, one or more needles; with injection(s) of substance(s)
97816Acupuncture, one or more needles; with moxibustion

Commonly Billed With

CPT code 97810 is commonly billed with evaluation and management services (e.g., office visit codes).

Clinical Scenarios

Scenario 1: Initial Acupuncture Treatment

A patient presents for their first acupuncture session without electrical stimulation. Assign CPT code 97810 for this service.

Scenario 2: Follow-up Acupuncture Session

A patient returns for a follow-up acupuncture session without electrical stimulation. Continue billing CPT code 97810 for subsequent visits.

Scenario 3: Additional Needles Used

If the provider uses multiple needles during the session without electrical stimulation, still report CPT code 97810.

FAQs

Can I bill CPT code 97810 with electrical stimulation?

No, CPT code 97810 specifically excludes electrical stimulation. For acupuncture with electrical stimulation, consider using code 97811.

Is there a limit to the number of needles for code 97810?

No, there is no specific limit on the number of needles used when reporting CPT code 97810.

Can I bill an E/M service along with CPT code 97810?

Yes, it is appropriate to bill an evaluation and management service in addition to acupuncture services like CPT code 97810 if separately identifiable.

Does CPT code 97810 cover cupping therapy?

No, CPT code 97810 specifically describes acupuncture without electrical stimulation. Cupping therapy would require a different CPT code.

Is documentation required for each needle insertion for code 97810?

Yes, accurate documentation of each needle insertion is essential to support the medical necessity of billing CPT code 97810.

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