What is the CPT code 99214?
What is the CPT code 99214?
CPT® code 99214: Established patient office or other outpatient visit, 30-39 minutes.
Who can bill CPT code 99214?
99214 CPT code bills for the service when the physician performs an evaluation and management service in the Office or other outpatient hospital visit to the established patient. It requires a medically appropriate exam and or history and a moderate level of medical decision making.
How many minutes is a 99214?
For example, a 99214 typically requires 25 minutes of face-to-face time with the patient.
What is the difference between CPT code 99213 and 99214?
In a typical 99213 visit, you may not need to review or update the patient’s PFSH at all, but a 99214 requires at least one of those areas be reviewed and documented.
How many times can you bill 99214?
Kentucky Administrative Regulation – 907 KAR 3:005, Section 4 (7) limits the number of such complex office visits – CPT Codes 99214 or 99215 to two per year/per patient/per physician.
Can a nurse practitioner bill a 99214?
Yes, NPs can bill for 99214 and 99215 visits with the following caution: Beware in states where the scope of NP practice is not specifically defined to include comprehensive evaluations.
How much is a 99214 visit?
Prices for Standard Primary Care Services
| CPT Code | Cost | Description |
|---|---|---|
| 99212 | $70 | Standard 5-10 Minute Office Visit |
| 99213 | $95 | Standard 10-15 Minute Office Visit |
| 99214 | $130 | Standard 20-25 Minute Office Visit |
| 99215 | $180 | Standard 30-45 Minute Office Visit |
Is 99214 a time based code?
For example, a physician spends five minutes of time with an established patient and a physician assistant spends 25 minutes on the date of the encounter. The total time of the visit would be 30 minutes (5 + 25); and therefore, CPT code 99214 (30 to 39 minutes) would be selected per the new time intervals.
What CPT codes can nurse practitioners use?
CPT codes for NP visits Generally, when an NP or physician assistant (PA) sees a patient in a physician’s office, he or she should use the usual office or other outpatient visit codes (99201-99215).
Who can use E&M codes?
Physicians
Reimbursement Guidelines CPT guidance instructs that E/M (CPT codes 99091, 99202-99499) should only be reported by Physicians or other qualified health care professionals.
What is needed for a 99214?
According to CPT, 99214 is indicated for an “office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a detailed history, a detailed examination and medical decision making of moderate complexity.” [For more detailed …
What is the CPT code for new patient office visit?
CPT® code 99203: New patient office visit, 30-44 minutes.