{"id":11626,"date":"2020-08-11T17:03:04","date_gmt":"2020-08-11T11:33:04","guid":{"rendered":"https:\/\/www.medicalbillersandcoders.com\/blog\/?p=11626"},"modified":"2025-05-19T07:42:56","modified_gmt":"2025-05-19T07:42:56","slug":"what-are-the-most-common-family-practice-cpt-codes","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/what-are-the-most-common-family-practice-cpt-codes\/","title":{"rendered":"What are the Most Common Family Practice CPT Codes?"},"content":{"rendered":"

2020 began with many significant billing and coding updates for family physicians. A study found that Family physicians could not bill for all the services provided in the majority of their visits because CPT codes for medical billing did not cover the services, a study found. Family practice medical billing services ensure providers do not miss opportunities to maximize reimbursements. The correct CPT coding ensures a smooth medical billing process. The CPT coding system details medical, surgical, and diagnostic services that healthcare professionals or physicians perform\u2014family Practice CPT Codes Range.<\/p>\n

The American Medical Association (AMA) developed and maintained the coding system, which offers healthcare providers \u201ca uniform process for coding medical services that streamlines reporting and increases accuracy and efficiency.\u201d<\/p>\n

Family physicians’ most common CPT codes for medical billing are 99213 and 99214<\/strong>. The CPT system and CMS Evaluation & Management (E&M) rule states that 99213<\/strong> can be used if a physician treats a patient for one stable chronic condition, such as stable liver cirrhosis. Below is a list of the code ranges for family practice services and procedures.<\/p>\n

Family Practice CPT Codes<\/h2>\n

CPT Code 99213<\/h3>\n

The Current Procedural Terminology (CPT) code 99213, maintained by the American Medical Association, is a medical procedural code for Established Patient Offices or Other Outpatient Services.<\/p>\n

The American Medical Association (AMA) Describes the 99213 CPT\u00ae Procedure Code as follows:<\/h4>\n

Office or other outpatient visits to evaluate and manage an established patient require at least two of these three components: an expanded problem-focused history, an expanded problem-focused examination, and Medical decision-making of low complexity.<\/p>\n

Counseling and coordination of care with other providers or agencies are provided in a manner consistent with the nature of the problem(s) and the patient’s and\/or family’s needs. The presenting problem(s) are usually of low to moderate severity. Physicians typically spend 15 minutes face-to-face with the patient and\/or family.<\/p>\n

According to the CPT book, 99213<\/strong> lists a typical time of 15 minutes, while 99214<\/strong> has a typical time of 25 minutes.<\/p>\n

CPT Code 99214<\/h3>\n

The Current Procedural Terminology (CPT) code 99214, as maintained by the American Medical Association, is a medical procedural code in the range of Established Patient Offices or Other Outpatient Services.<\/p>\n

According to CPT, 99214<\/strong> is indicated for an \u201coffice or other outpatient visits 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.\u201d<\/p>\n

Physicians can bill a CPT code 99214<\/strong> if they see a patient with one chronic disease not in optimal control. For example, the patient may have stable angina two months post-myocardial infarction, and he is not tolerating one of his medications.<\/p>\n

Rules of Thumb for 99214<\/h3>\n

Use 99214 in any of the following situations:<\/h4>\n