99213 Established patient office visit, low complexity
CPT · BillingBrief summary
An established patient office or outpatient visit with low-complexity medical decision making. It's one of the most-billed codes in outpatient care.
What to know
- Time threshold: 20 minutes or more of total practitioner time on the date of the visit.
- Common for one stable chronic illness or an acute uncomplicated problem with limited data review.
Related codes
Common questions
What's the difference between 99213 and 99214?
Both are established patient office visits. 99213 needs low-complexity medical decision making or 20+ minutes; 99214 needs moderate-complexity MDM or 30+ minutes.