"CPT Copyright 2017 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.""

Featured Post

AMA approves E&M documentation changes

The AMA CPT Editorial Panel has approved revised guidelines for new and established office or outpatient visit codes 99202-99215 that woul...

Clinical Examples for 99213


Office visit for an established patient with new lesions of lichen planus in spite of topical therapies. (Dermatology)

Office visit for the quarterly follow-up of a 45-year-old lame with stable chronic asthma requiring regular drug therapy. (Allergy & Immunology)

Office visit for a 13-year-old, established patient, with comedopapular acne of the face that has shown poor response to topical medication, Discussion of use of systemic medication. (Dermatology)

Office visit for a 62-year-old female, established patient, for follow-up for stable cirrhosis of the liver. (internal Medicine/Family Medicine)

Office visit for a 3-year-old, established patient, with atopic dermatitis and food hypersensitivity for quarterly follow-up evaluation ,The patient is on topical lotions and steroid creams as well as oral antihistamines. (Allergy & Immunology)

Office visit for an 80-year-old female, established patient, to evaluate medical management of osteoarthritis of the temporomandibular joint. (Rheumatology)

Office visit for a 70-year-old female, established patient, one year post excision of basal cell carcinoma of nose with nasolabial flap, Now presents with new suspicious recurrent lesion and suspicious lesion of the back. (Plastic Surgery)

Office visit for a 68-year-old female, established patient, with polymyalgia rheumatic, maintained on chronic low-does corticosteroid, with no new complaints.(Rheumatology)

Office visit for a 3-year-old female, established patient, for earache and dyshidrosis of feet. (Pediatrics/Family Medicine)

Office visit for an established patient for 18-months post-operative follow-up of TMG repair. (Oral & Maxillofacial Surgery)

Office visit for a 45-year-old male, established patient, being re-evaluated for  recurrent acute prostatitis. (Urology)

Office visit for a 43-year-old male, established patient, with known reflex sympathetic dystrophy. (Anesthesiology)

Office visit for an established patient with an evenly pigmented superficial nodule of leg that is symptomatic. (Dermatology)

Office visit for an established patient with psoriasis involvement of the elbows, pitting of the nails, and itchy scalp. (Dermatology)

Office visit for a 27-year-old male, established patient, with deep follicular and perifollicular inflammation unable to tolerate systemic antibiotics due to GI upset, requires change of systemic medication. (Dermatology)

Office visit for a 16-year-old male, established patient, who is on medication for exercise-induced bronchospasm. (Allergy & Immunology)

Office visit for a 60-year-old, established patient, with chronic essential hypertension on multiple drug regimen, for blood pressure check. (Family Medicine)

Office visit for a 20-year-old male, established patient, for removal of sutures in hand. (Family Medicine)

Office visit for a 58-year-old female, established patient, with unilateral painful bunion. (Orthopaedic Surgery)

Office visit for a 45-year-old female, established patient, with known osteoarthritis and painful swollen knees. (Rheumatology)

Office visit for a 25-year-old female, established patient, complaining of bleeding and heavy menses. (Obstetrics & Gynecology)

Office visit for a 55-year-old male, established patient, with hypertension managed by a beta blocker/thiazide regime;  now experiencing mild fatigue. (Nephrology)

Office visit for a 65-year-old female, established patient, with primary glaucoma for interval determination of intraocular pressure and possible adjustment of medication. (Ophthalmology)

Office visit for a 56-year-old man, established patient, with stable exertional angina who complains of new onset of calf pain while walking. (Cardiology)

Office visit for a 63-year-old female, established patient, with rheumatoid arthritis on auranofin and ibuprofen, seen for routine follow-up visit. (Rheumatology)

Office visit for an established patient with Graves’s disease, three months post I-131 therapy, who presents with lassitude and malaise.(Endocrinology)

Office visit for the quarterly follow-up of a 63-year-old male, established patient, with chronic myofascial pain syndrome, effectively managed by doxepin, who presents with new onset urinary hesitancy. (Pain Medicine)

Office visit for the biannual follow-up of an established patient with migraine variant having infrequent, intermittent, moderate to severe headache with nausea and vomiting, which are sometimes effectively managed by ergotamine tartrate and an antiemetic, but occasionally requiring visits to an emergency department. (Pain Medicine)

Office visit for an established patient after discharge from a pain rehabilitation program to review and adjust medication dosage. (Pain Medicine)

Office visit with 55-year-old male, established patient, for management of hypertention, mild fatigue, on beta blocker/thiazide regimen. (Family Medicine/Internal Medicine)

Outpatient visit with 37-year-old male, established patient, who is three years post total colectomy for chronic ulcerative colitis, presents for increased irritation at his stoma. (General Surgery)

Office visit for a 70-year-old diabetic hypertensive established patient with recent change in insulin requirement. (Internal Medicine/Nephrology)

Office visit with 80-year-old female, established patient, for follow-up osteoporosis, status-post compression fractures. (Rheumatology)

Office visit for an established patient with stable cirrhosis of the liver. (Gastroenterology)

Routine, follow-up office evaluation at a three-month interval for a 77-year-old female, established patient, with nodular small cleaved-cell lymphoma. (Hematology/Oncology)

Quarterly follow-up office visit for a 45-year-old male, established patient, with stable chronic asthma, on steroid and bronchodilator therapy. (Pulmonary Medicine)

Office visit for a 50-year-old female, established patient, with insulin-dependent diabetes mellitus and stable coronary artery disease, for monitoring. (Family Medicine/Internal Medicine)

Blogger Widget

Popular Posts