CPT 99243
Office consultation, low complexity (commercial)
Last reviewed August 2026 · DataLily AI data team
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CPT 99243 at a glance
- Code
- 99243
- Code type
- CPT
- Short descriptor
- Office consultation, low complexity (commercial)
- Category
- Clinic/Office – E&M Consult
- ASC eligibility
- Office / clinic-based
- Typical setting
- Physician office or clinic (POS 11).
What is CPT code 99243?
CPT 99243 is a CPT procedure code for office consultation, low complexity (commercial). Its official short descriptor is "Office consultation, low complexity (commercial)". In the ASC context it is grouped under Clinic/Office – E&M Consult.
Is CPT 99243 eligible in an ambulatory surgery center (ASC)?
CPT 99243 is typically performed in a physician office or clinic (place of service 11) rather than in an ambulatory surgery center.
Where is CPT 99243 typically performed?
Physician office or clinic (POS 11).
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.