CPT 99245
Office consultation, high complexity (commercial)
CPT 99245 at a glance
- Code
- 99245
- Code type
- CPT
- Short descriptor
- Office consultation, high complexity (commercial)
- Category
- Clinic/Office – E&M Consult
- ASC payment status
- Office / clinic-based
- CMS addendum
- Not on ASC addenda
- Typical setting
- Physician office or clinic (POS 11).
What is CPT code 99245?
CPT 99245 is a CPT procedure code. Its official CMS short descriptor is "Office consultation, high complexity (commercial)". In the ASC context it is grouped under Clinic/Office – E&M Consult.
Is CPT 99245 payable in an ambulatory surgery center (ASC)?
CPT 99245 is typically performed in a physician office or clinic (place of service 11) rather than reimbursed as an ASC facility procedure.
Where is CPT 99245 typically performed?
Physician office or clinic (POS 11).
Reference information compiled from the CMS April 2026 ASC payment addenda (AA, BB, EE). Codes, descriptors, and ASC payment status change with each CMS update. This is a coding reference, not billing, coding, or legal advice. Always verify against the current CMS addenda and individual payer policy before billing. CPT is a registered trademark of the American Medical Association.