99213 Office outpatient established low 20 minutes
Also known as: office visit, low complexity visit, established patient, established patient office visit level 3, standard office visit, follow-up visit, return visit
Office or other outpatient visit for the evaluation and management of an established patient with low medical decision-making complexity and an expected duration of 20 minutes.
Clinical Context
Used for established patient office visits with low medical decision-making complexity, such as routine visits for stable chronic disease management or follow-up of minor acute conditions.
RVU Breakdown
| Work RVU | 1.30 |
| Practice Expense RVU | 1.46 |
| Malpractice RVU | 0.09 |
| Total RVU | 2.85 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.