99214 Insurance Policy Changes

CPT 99214, in plain terms, covers A moderate-complexity office visit with an established patient lasting around 30 minutes. CPT 99214 is referenced in 50 tracked payer policy changes from CareSource, NC Medicaid - NCDHHS, and 21 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 99214 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 99214 on AAPC