Specialty and E/M codes, in one place.
The codes each specialty we bill uses most, plus the office visit levels and modifiers behind them. Built by our coding team for practices, front offices and new billers.
Outpatient practice coding only; we do not bill hospital or facility claims. Reference only: code from the documentation, and verify against the current year's CPT and ICD-10-CM code sets and your payers' policies. Descriptions are plain-language summaries, not official code descriptors.
99214
Established patient office visit
Moderate MDM, or 30+ minutes
Generic E/M codes
Office and outpatient visits.
Since 2021, office visit levels are chosen by medical decision making (MDM) or by total time spent on the date of the encounter, whichever supports the higher level.
| Code | Medical decision making | Total time |
|---|---|---|
| 99202 | Straightforward15+ min | 15+ min |
| 99203 | Low30+ min | 30+ min |
| 99204 | Moderate45+ min | 45+ min |
| 99205 | High60+ min | 60+ min |
Time thresholds are total minutes on the date of service and must be met or exceeded.
Beyond the office visit.
Outpatient practice settings only. We don't bill hospital or facility claims.
- 99242–99245Office or outpatient consultations
- 99341–99350Home or residence visits
- 99381–99387Preventive medicine, new patient (by age)
- 99391–99397Preventive medicine, established patient (by age)
- 99401–99404Preventive counseling, individual
- 99406–99409Behavior change counseling (tobacco, alcohol)
- 99421–99423Online digital E/M (patient portal)
- 99441–99443Telephone E/M services
- 99495–99496Transitional care management
- 99490–99491Chronic care management
Common E/M modifiers
- -25Significant, separately identifiable E/M on the same day as a procedure or other service
- -24Unrelated E/M during a postoperative period
- -57E/M that resulted in the decision for surgery
- -95Synchronous telemedicine via real-time audio and video
Specialty codes
What each specialty bills most.
Common procedure (CPT) and diagnosis (ICD-10-CM) codes for every specialty we credential and bill for. Pick a specialty to see its codes.
Family Medicine: procedures
CPT- 99214Established patient office visit, moderate MDM
- 99396Preventive visit, established patient, age 40–64
- 36415Routine venous blood draw
- 93000Electrocardiogram with interpretation and report
Family Medicine: diagnoses
ICD-10-CM- I10Essential (primary) hypertension
- E11.9Type 2 diabetes without complications
- E78.5Hyperlipidemia, unspecified
- Z00.00General adult exam without abnormal findings
Outpatient practice coding only; we do not bill hospital or facility claims. Reference only: code from the documentation, and verify against the current year's CPT and ICD-10-CM code sets and your payers' policies. Descriptions are plain-language summaries, not official code descriptors.
Next step
Want codes that hold up under audit?
Our coders assign ICD-10 and CPT from your documentation and raise queries when the note doesn't support the code.