CPT 99213: Office Visit - Established Patient - Low Complexity
Documentation Requirements
- Chief complaint and HPI
- Problem assessment and management
- At least one of: limited data review, low risk treatment
Billing Tips
- Time-based billing: 20-29 total minutes on encounter date
- Include data reviewed (labs, imaging, outside records)
Frequently Asked Questions
What qualifies for 99213 vs 99214?
The two codes differ by complexity of medical decision making, and each also has a time threshold you can bill on instead. Scribeable analyzes your documentation and suggests the level it supports.
Can I use time-based billing for 99213?
Yes. Time on the encounter date — pre-visit review, face-to-face time, and documentation — can support the level on its own, provided you document the total and it meets the threshold for that code.