CPT 99213

Office or other outpatient visit, established patient, low to moderate complexity

• Upcoded to 99214 or 99215 for simple visits
• Billed without supporting documentation
• Duplicate billing on same date of service

• Check if visit complexity matches the code level
• Verify provider documented time spent if time-based
• Ensure not billed with other E/M codes on same date

1. 1

   Request an Itemized Bill

   Ask your provider for a detailed bill showing all CPT codes and individual charges.

2. 2

   Compare to Typical Costs

   Check if your charge falls within the typical range. Excessive charges may be negotiable.

3. 3

   Check for Errors

   Review the common billing errors listed above and verify the service was actually performed.

4. 4

   Generate a Dispute Letter

   Use our free tool to create a professional dispute letter citing specific concerns.