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99213 CPT Code: Established Patient Office or Outpatient Visit (20–29 Minutes)

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The 99213 CPT code is one of the most commonly reported Evaluation and Management (E/M) codes for established patient office or outpatient visits. It represents services involving low-level medical decision-making (MDM) or 20–29 minutes of total time spent on the date of the encounter. Because it is used frequently in outpatient settings, proper documentation and compliance are essential to avoid denials, audits, and revenue loss. Key Takeaways What the code covers: The 99213 CPT code applies to established patients seen in an office or outpatient setting for stable chronic conditions or new low-to-moderate severity problems. Session duration requirements: When billing based on time, total provider time must be 20–29 minutes on the date of service. Who can use the code: Physicians, nurse practitioners, and physician assistants can report this code if documentation supports low-complexity MDM or appropriate time thresholds. Best practice for proper use: Accurate documenta...
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CPT Code 99213: Complete Billing Guide for Accurate Reimbursement

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  The   99213 CPT code   remains one of the most commonly billed Evaluation and Management (E/M) services for established patient office visits. However, it is also one of the most misunderstood codes in outpatient billing. Even minor documentation gaps or confusion around medical decision-making (MDM), total time, or patient status can trigger claim denials, reimbursement delays, or compliance risks. If your practice routinely bills established patient visits, understanding how to properly report 99213 is critical for financial stability and audit protection. This guide explains when to use  CPT code 99213 , documentation expectations, time-based billing rules, qualifying clinical scenarios, and practical billing tips. What Is 99213 CPT Code? 99213 CPT code  represents a Level 3 office or outpatient visit for an established patient. It may be selected based on: Low-complexity medical decision-making (MDM), or 20–29 minutes of total provider time on the date of ...
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Location: 24680 Swanson Rd, Southfield, MI 48033, USA
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ICD-10 Code R07.9 for Chest Pain: A Complete Guide for Accurate Medical Coding

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  In today’s healthcare environment, precision is everything — especially when it comes to diagnosis, documentation, and reimbursement. Behind every patient encounter lies a structured coding system that ensures proper communication between providers, payers, and healthcare organizations. One such critical component is the ICD-10 coding system. When it comes to documenting chest pain, one of the most frequently used and often misunderstood codes is  ICD-10 code R07.9 . In this comprehensive guide by  MedMaxRCM , we’ll break down the significance of ICD-10 code R07.9, explore related chest pain codes, and explain how accurate coding directly impacts billing efficiency, compliance, and patient care. Understanding ICD-10 Code R07.9 At its core,  ICD-10 code R07.9  refers to  “Chest pain, unspecified.”  It is used when a patient presents with chest pain but the underlying cause has not yet been determined or documented in detail. Chest pain is one of the m...
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Location: 24680 Swanson Rd, Southfield, MI 48033, USA
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