---
title: "CPT 99214: Established patient office visit, moderate… | BillingBrief"
description: "An established patient office or outpatient visit with moderate-complexity medical decision making. It's one of the most-billed codes in outpatient care."
canonical: "https://billingbrief.com/cpt/99214/"
language: "en"
---

# 99214 Established patient office visit, moderate complexity

CPT · [BillingBrief summary](#source)

An established patient office or outpatient visit with moderate-complexity medical decision making. It's one of the most-billed codes in outpatient care.

## What to know

-   Time threshold: 30 minutes or more of total practitioner time on the date of the visit.
-   Moderate MDM usually means things like a chronic illness that's getting worse, two or more stable chronic illnesses, or prescription drug management.
-   Since 2021, history and exam don't set the level. They still need to be medically appropriate and documented.

## Related codes

-   [`99213` Established patient office visit, low complexity CPT](https://billingbrief.com/cpt/99213/)
-   [`99215` Established patient office visit, high complexity CPT](https://billingbrief.com/cpt/99215/)
-   [`99204` New patient office visit, moderate complexity CPT](https://billingbrief.com/cpt/99204/)
-   [`G2211` Visit complexity inherent to evaluation and management associated with medical care… HCPCS](https://billingbrief.com/hcpcs/g2211/)

## Common questions

### How much time is required for 99214?

When coding by time, 99214 requires 30 minutes or more of total practitioner time on the date of the visit. That includes non-face-to-face work such as reviewing records and documenting.

### What's the difference between 99214 and 99215?

99214 is moderate-complexity medical decision making (or 30+ minutes). 99215 is high-complexity MDM (or 40+ minutes).

### Can G2211 be billed with 99214?

Medicare allows the G2211 add-on with office E/M visits like 99214 when the practitioner is the continuing focal point for the patient's care or manages a serious or complex condition over time. Check payer policy.

## From the source

This is BillingBrief’s own explanation, not the official CPT descriptor. For the official code set, see the [American Medical Association](https://www.ama-assn.org/practice-management/cpt).

Code set

CPT

Category

Office visits (E/M)

Educational reference only. Not medical, legal, or billing advice. Always check the current official code set and payer policy before you bill. [About BillingBrief and our sources](https://billingbrief.com/about/).