CPT 99183 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Other Medicine Services and Procedures |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 11 - Office • 19 - Off Campus Outpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 99183 |
National average reimbursement for CPT 99183 by major payers:
$178.26
$184.27
$174.64
$195.16
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 99183 | ||||||
United | 99183 | $114.04 | 1629142484 - PAULINE MORROW | 822302435 - (CO) CLARITY DERMATOLOGY, PLLC | CO | Specialist (174400000X) |
United | 99183 | $126.40 | 1053503599 - LISA SCHLITZKUS | 840743121 - (CO) HOSPICE OF METRO DENVER INCORPORATED | CO | Surgical Critical Care Physician (2086S0102X) |
United | 99183 | $369.48 | 1396802500 - GRETCHEN AHRENDT | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Surgery Physician (208600000X) |
United | 99183 | $133.42 | 1962582783 - LESLIE STEWART | 810983637 - (CO) COLORADO CENTER FOR DERMATOLOGY, PLLC | CO | Specialist (174400000X) |
United | 99183 | $227.72 | 1629364534 - CLAYTON LEWIS | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | CO | Surgery Physician (208600000X) |
United | 99183 | $262.80 | 1134238942 - JANINE MEZA | 841504318 - (CO) JANINE C MEZA MD PROFESSIONAL LLC | CO | Surgery Physician (208600000X) |
United | 99183 | $203.44 | 1265079545 - COMMUNITY MEDICAL GROUP, LLC, <UNAVAIL> | 475312741 | CO | Specialist (174400000X) |
United | 99183 | $386.60 | 1780876128 - ALAN BIELSKY | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Pediatric Anesthesiology Physician (207LP3000X) |
United | 99183 | $471.70 | 1164841334 - ALEXANDRA HALEVI | 680334324 | CO | Surgery Physician (208600000X) |
United | 99183 | $189.25 | 1962454900 - DAVID CIESLA | 30219309 - UNIVERSITY OF VERMONT MEDICAL CENTER INC | CO | Surgery Physician (208600000X) |
United | 99183 | $172.88 | 1912017054 - JEFFREY ROSENSWEIG | 760716365 - (CO) PEDIATRIC GASTROENTEROLOGY CONSULTANTS, P.C. | CO | Specialist (174400000X) |
United | 99183 | $309.04 | 1700849924 - STEVEN MOULTON | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Pediatric Surgery Physician (2086S0120X) |
United | 99183 | $202.99 | 1285727172 - SARA CHORBA | 800348943 - POUDRE VALLEY MEDICAL GROUP LLC | IN | Neonatal Nurse Practitioner (363LN0000X) |
United | 99183 | $267.75 | 1558474676 - JOEL SCHAEFER | 840513889 - (CO) GRAND RIVER HOSPITAL DISTRICT | CO | Surgery Physician (208600000X) |
United | 99183 | $236.83 | 1578819504 - CATHOLIC HEALTH INITIATIVES COLORADO, <UNAVAIL> | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | CO | Surgery Physician (208600000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 99183 vs. Other Other Medicine Services and Procedures Codes
The CPT 99183 code is part of the Medicine Services and Procedures services used for Other Medicine Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 99183 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 99075-CPT | Low | Medical Testimony |
| 99078-CPT | Low | Physician Or Other Qualified Health Care Professional Qualified By Education Training Licensure/Regulation (When Applicable) Educationalservices Rendered To Patients In A Group Setting (Eg Prenatal Obesity Or Diabetic Instructions) (Revised 01/01/13) |
| 99175-CPT | Low | Ipecac Or Similar Administration For Individual Emesis And Continued Observation Until Stomach Adequately Emptied Of Poison |
| 99183-CPT | Low | Physician Or Other Qualified Health Care Professional Attendance And Supervision Of Hyperbaric Oxygen Therapy Per Session (Revised 01/01/13) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99183. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99183 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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