99214 CPT Code | Current Code Description & Previous Versions

The 99214 CPT code, was updated, four times since been introduced in 1992. Below, you can find versions 1992, 2007, 2007, 2008, 2013 and current version of 2021.

2021 Description Of CPT 99214 [Current Version]

The description of CPT code 99214, it was changed on 01-01-2021 to: “Office or other outpatient visit for evaluation and management of an established patient, which requires a medically appropriate history and/ or examination and moderate level of medical decision making. When time for code selection, 30-39 minutes of total time is spent on the date of the encounter.”

Short description: Moderate Complexity Visit.

Lay-term: This version indicates an outpatient consultation typically lasting between 30 and 39 minutes for a patient already in the medical record, with fairly complicated healthcare needs.

2013 Description Of CPT 99214

The description of CPT code 99214, was updated on 01-01-2013 to: “Office or other outpatient visit for the evaluation and management of established patient, which requires at least three of these three key components:

• Detailed history;
• Detailed examination;
• Medical decision making of moderate complexity.

Usually, the presenting problem[s] are of moderate to high severity. Typically, 25 minutes spent face-to-face with the patient and/or family.”

Short description: Detailed Visit

Lay-term: With this protocol, an existing patient would undergo a detailed check-up, including a deep dive into their history, with particular attention to problems of moderate to high severity. This visit tends to last about 25 minutes.

2008 Description Of CPT 99214

The description of CPT code 99214 was changed on 01-01-2008 to: “Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components:

• A detailed history;
• A detailed examination;
• Medical decision making of moderate complexity.

Short description: Standard Visit

Lay-term: This phase introduced a visit that includes a detailed history and examination, highlighting two critical areas of patient care. The discussions during this visit could also lead to a more complicated decision-making process.

2007 Description Of CPT 99214

The description of CPT code 99214 was changed on 01-01-2007 to: “Office or other outpatient visit for the evaluation and management of established patient, requires at least two of these three key components:

• A detailed history;
• A detailed examination;
• Medical decision-making of moderate complexity.

Short description: Detailed Visit

Lay-term: The established patient could expect a thorough review of their history and a meticulous medical examination. The visit would potentially lead to complex medical decisions.

1992 Description Of CPT 99214

The CPT code 99214 added to Current Procedural Terminology on 01-01-1992 with the following description: “Office or other outpatient visit for the evaluation and management of an established patient, requires at least two of these three key components:

• A detailed history;
• A detailed examination;
• Medical decision making of moderate complexity.

Short description: Initial Visit

Lay-term: This first version of the code stands for a regular doctor’s visit where your history would be reviewed, a detailed examination would be performed, and some moderate-level medical decisions would be made if needed.