CPT^® 99283, Under New or Established Patient

The Current Procedural Terminology (CPT^®) code 99283 as maintained by American Medical Association, is a medical procedural code under the range - New or Established Patient.

Additional/Related Information

Tabs

Summary

The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 99283 ? Start a discussion here

ED facility

[QUOTE="amk93211, post: 515213, member: 354623"] Hello, I want to ask that ED facility has higher payment (like $230 for 99283) than ED profee ($73 for 99283 as per encoderpro). can someone make me u... [ Read More ]

ED facility

Hello, I want to ask that ED facility has higher payment (like $230 for 99283) than ED profee ($73 for 99283 as per encoderpro). can someone make me understand how this charges deviate and how to bil... [ Read More ]

ER VISIT

My physician does not take ER coverage but once a year and I can't remember how to bill for ER visit. Pt was seen on 12-25....admitted and had surgery same day. Pt has Medicare. Do I use 99221 and/or ... [ Read More ]

90 Day Global

Hi CMort68 Yes I'd bill it again with valid EMR CPT code 99283 because the dehiscene or incision split open. This might cause infection and is a a new problem. I d add dx T81.32XA . If no problem wit... [ Read More ]

99283 EFFECTIVE DATE

Where do I find the effective date for CPTS? 99283 AND 87800?... [ Read More ]

Splint heated and adjusted

Is anything billable for this splint that was heated and adjusted, or is this an EM code? This is profee coding in a physician's office. The original profee charge was just an ER visit 99283, and th... [ Read More ]

trauma activation

question: I have a facility that is a registered level 1 trauma center trying to bill trauma activation for a patient along with EM 99282. The patient came in via amb (should have charged 99283) with ... [ Read More ]

Trauma Activation charging

ER Visit

Hi Kayla. As an auditor with specialty knowledge in urology, I would agree with you that your urologist is seeing a patient with an acute illness, but not one that is high risk, meaning that it doesn'... [ Read More ]

ER Visit

I code for urology and we get asked to come to the ER to see patients. If my doctor does a comprehensive exam and history, and sees the patient for kidney stones and reviews labs, a CT image, and repo... [ Read More ]

View All