Home > E/M Codes > 99214

99214

Office or other outpatient visit for the evaluation and management of an established patient, typically 30 minutes.

Code Description

CPT code 99214 is used for office or outpatient evaluation and management visits involving an established patient. This code typically represents moderate medical decision making and approximately 30 minutes of total time spent on the date of the encounter.

Providers commonly use CPT 99214 when managing multiple conditions or addressing more complex healthcare concerns.

When to Use 99214

Common examples include:

  • multiple chronic conditions

  • worsening symptoms

  • medication management

  • review of diagnostic testing

  • moderate risk treatment decisions

Documentation Requirements

  • medically appropriate history

  • medically appropriate examination

  • moderate medical decision making

  • documented encounter time when applicable

Common Billing Mistakes

  • insufficient documentation for moderate complexity

  • inaccurate time reporting

  • missing treatment plan documentation

Related CPT Codes

99212- Established Patient Office Visit, 10 Minutes

99213- Established Patient Office Visit, 20 Minutes

99215- Established Patient Office Visit, 40 Minutes

FAQ
Is CPT 99214 for established patients?

Yes. CPT 99214 is used for established patient office visits.

What is the typical time for CPT 99214?

Typically 30 minutes.

What level of medical decision making is required?

Moderate medical decision making.

Patient Type

Established Patient

Typical Time

MDM Level

30 Minutes

Moderate