CPT procedure code
CPT 99214: Office visit, established patient, 30-39 min
Procedure code with common scenarios, denial patterns, and appeal guidance.
Code
99214
Category
EM
Common scenarios
- Established patient with new complaint or worsening condition
Common denial patterns
- Downcoded to 99213 if documentation insufficient
- Bundled with same-day procedure (need modifier 25)
Frequently asked questions
What is CPT 99214?
Office visit, established patient, 30-39 min
When is it typically billed?
Established patient with new complaint or worsening condition.
What are common denial reasons?
Downcoded to 99213 if documentation insufficient; Bundled with same-day procedure (need modifier 25).
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