99214 Office outpatient established mod 30 minutes
Also known as: moderate office visit, established patient, office E/M, established patient office visit level 4, moderate complexity visit, extended visit, detailed office visit, complex follow up
Office or other outpatient visit for the evaluation and management of an established patient with moderate medical decision-making complexity and an expected duration of 30 minutes.
In Plain Language
Standard detailed visit; Medical appointment with evaluation
Clinical Context
Used for established patient office visits with moderate medical decision-making complexity, involving evaluation of new or worsening conditions or management of established conditions with some complexity.
RVU Breakdown
| Work RVU | 1.92 |
| Total RVU | 1.92 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
E&M codes require documentation of medical decision-making (MDM) complexity or total time spent on the encounter. For 2026, time-based coding includes all physician time on the date of the encounter.
How This Code Compares
With a work RVU of 1.92, this code ranks in the 65th percentile among Evaluation & Management codes — 1.2x the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99214?
CPT 99214 (Office outpatient established mod 30 minutes) is a Evaluation & Management code. Office or other outpatient visit for the evaluation and management of an established patient with moderate medical decision-making complexity and an expected duration of 30 minutes.
Who uses CPT code 99214?
CPT 99214 is used by Family Medicine, Internal Medicine, All Specialties. Used for established patient office visits with moderate medical decision-making complexity, involving evaluation of new or worsening conditions or management of established conditions with some complexity.
When is CPT 99214 used?
Used for established patient office visits with moderate medical decision-making complexity, involving evaluation of new or worsening conditions or management of established conditions with some complexity.
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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.