CPT Code 99213 vs 99214: Earn $35 More & Reduce Your Compliance Risk


Down coding CPT code 99213 vs 99214 to avoid scrutiny costs you $35 per qualifying mid/high-level office visit – and taking the revenue hit can still raise costly red flags.

It turns out you should code a higher-level visit in some circumstances – and you’ll actually have less risk than playing it safe and poor with CPT code 99213.

Telling the difference between an established patient office visit that supports CPT code 99213 vs 99214 is difficult. You’ve got to consider medical necessity, evaluation and management guidelines, EMR traps, and more.

Without a clear way to distinguish between how to properly use CPT code 99213 vs 99214, your physician and practice could be out of sync with other practice’s patterns which will trigger an audit. This is where national coding and billing expert Stephanie Thomas, CPC, CANPC, can help protect your practice.

During this online training session, Stephanie will teach you the basics of 99213 and 99214 evaluation and management coding and the details of 1995 and 1997 E/M guidelines so you can get the added 99214 revenue when you should.

Improve Revenue & Compliance with Proper Use of 99213 vs 99214

By attending this 60-minute online training, you’ll get practical solutions to confidently bill CPT code 99213 and 99214. You’ll improve revenue compliantly by billing correctly with expert advice on:

  • Why down coding just to “be safe” is backfiring on practices
  • How to tell when to use 1995 vs 1997 evaluation and management guidelines
  • Common mistakes billers make when comparing new vs established patient office visit levels
  • Ways to better utilize your staff to improve documentation
  • What the difference is between a level 3 and 4 visit
  • Tips to make sure all bullets are met to support correct coding
  • How your office-visit level bell curve can trigger payer audits
  • Downfalls of relying on EMR templates to improve compliance
  • Audit preparation and how to respond
  • Decreasing risk by spotting areas of risk in documentation
  • Solutions to verify you are correctly coding and billing 99213s and 99214s

You simply can’t afford to down code 99214s – you’ll lose revenue and increase the possibility for audits. Get the tips and strategies you need to identify the guidelines and documentation differences between CPT codes 99213 and 99214.

New and established billers, physicians, auditors, medical assistants, physician assistants, and pre-authorization staff will all benefit from this E/M coding training.

Don’t be one of those practices that avoid using 99214 due to fear of audits. You deserve better.

Register now for this expert-led online training and learn how to accurately boost revenue by $35 for 99214 and avoid compliance disasters.

Meet Your Expert

Stephanie Thomas

Stephanie has 17 years of experience doing medical billing and coding in a variety of specialties. She has earned her credentials as both a Certified Professional Coder® (CPC®) AND a Certified Pain and Anesthesia Coder (CANPC®).

Billing is Stephanie’s passion. She has made it her mission to work with practices across the country to help them ethically and more efficiently maximize their reimbursements. She does this by simplifying complex coding and billing rules and educating providers and staff on proper utilization techniques.

 She is a proven coding and billing educator, and regularly speaks at both local and national events


The speaker spoke clearly, and was knowledgable on the subject matter.
Tera Jennings
Billing Specialist, RBOI-Urology Institute of Central FL
The webinar was very informative and easy to follow. I thought it was GREAT!
Yolanda Rodriguez
Support Staff, David Lawrence Center
Informative, and easy to follow.
Jason Strome
Billing, Huntington Beach Orthopedics and Sports Medicine