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LEVEL 3 ESTaBLISHED
OFFICE PATIENT
 

 

Effective January 1, 2021, there are new guidelines for new and established office visits. For information on the 2021 guidelines, click here.

Level 3 Established Office Visit (99213)


This level of care is located “in the middle’ of the coding spectrum for office visits with established patients.  The 99213 is the second most popular choice for internists who selected this level of care for 36% of these encounters in 2019.  The reimbursement for this level of care is $92.47 and is worth 1.3 work RVUs. This level of care requires low complexity MDM or 20 - 29 minutes devoted to the encounter on the date of the visit.

For a detailed exploration of the 2021 guidelines including clinical examples of each level of care for new and established office visits and a deep dive into the new table of medical decision-making, consider signing up for one of our 2021 update courses here.

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