All ASC CPT codes
Clinic/Office – E&M Office Visit · CPT

CPT 99213

Office or outpatient visit, established patient, low complexity (20–29 minutes)

Last reviewed August 2026 · DataLily AI data team

What does CPT 99213 mean?

CPT 99213 reports an office or other outpatient evaluation and management (E/M) visit for an established patient, with a low level of medical decision making or 20–29 minutes of total time on the date of the encounter.

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CPT 99213 at a glance

Code
99213
Code type
CPT
Short descriptor
Office/outpatient visit, established patient, low (20-29 min)
Category
Clinic/Office – E&M Office Visit
ASC eligibility
Office / clinic-based
Typical setting
Physician office or clinic (POS 11).

What is CPT code 99213?

CPT 99213 reports an office or other outpatient evaluation and management (E/M) visit for an established patient, with a low level of medical decision making or 20–29 minutes of total time on the date of the encounter. Its official short descriptor is "Office/outpatient visit, established patient, low (20-29 min)", and in the ASC context it is grouped under Clinic/Office – E&M Office Visit.

Is CPT 99213 eligible in an ambulatory surgery center (ASC)?

CPT 99213 is typically performed in a physician office or clinic (place of service 11) rather than in an ambulatory surgery center.

Where is CPT 99213 typically performed?

Physician office or clinic (POS 11).

Which specialties use CPT 99213?

CPT 99213 is most associated with Clinic/Center – Primary Care, Family Medicine, General Practice, Internal Medicine, among others.

Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association. Read the DataLily AI data methodology.

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