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 99177

Related CPT Codes

CPT CodeDescription
99174 Instrument-based screening for vision and hearing in children
99175 Ophthalmological services: medical examination and evaluation with initiation or continuation of diagnostic and treatment program; comprehensive, established patient
99176 Ophthalmological services: medical examination and evaluation with initiation or continuation of diagnostic and treatment program; intermediate, established patient
99183 Physician attendance and supervision of hyperbaric oxygen therapy, per session
99199 Unlisted special ophthalmological service or procedure

Commonly Billed With

  • CPT 99174 - Instrument-based screening for vision and hearing in children

    Often billed together for comprehensive pediatric assessments.

  • CPT 99175 - Ophthalmological services: comprehensive, established patient

    Used in conjunction for detailed eye evaluations in established patients.

  • CPT 99199 - Unlisted special ophthalmological service or procedure

    Sometimes paired when specific procedures are not covered by existing codes.

Clinical Scenarios

Scenario 1

A pediatric clinic uses CPT 99177 to screen young patients for early signs of vision issues like amblyopia.

Scenario 2

In a school health fair, CPT 99177 is utilized to quickly assess multiple children for common eye abnormalities.

Scenario 3

During a routine well-child visit, a pediatrician includes CPT 99177 to ensure early detection of any ocular concerns.

Frequently Asked Questions

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