99213 Insurance Policy Changes

CPT 99213, in plain terms, covers An established patient's brief office visit lasting around 20 minutes with straightforward medical issues. CPT 99213 is referenced in 45 tracked payer policy changes from NC Medicaid - NCDHHS, Priority Health, and 19 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 99213 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 99213 on AAPC