Running a primary care clinic is very busy work. You see many patients every single day. You want to focus on their health. But, you also need to run a good business. To get paid fast, you must use the right billing numbers. Knowing the common CPT codes in primary care is vital for success. This knowledge stops insurance companies from denying your claims. It also keeps your daily cash flow very steady. Let us review the top codes you need to know today.
Everyday Office Visit Codes
Most of your daily work involves basic office visits. You must bill these visits perfectly. These codes depend on the patient’s history with your clinic.
- 99203: Use this code for new patients. It applies to a basic office visit. The visit usually takes about 30 minutes of your time.
- 99213: This is a very common code. You use it for returning patients. It covers a basic, low-level exam for simple health issues.
- 99214: You also use this for returning patients. However, this code is for moderate problems. It requires a more detailed medical exam.
Preventive Medicine Codes
Keeping patients healthy is your main goal. Annual checkups use specific codes. They do not use standard sick visit codes.
- 99385: Use this code for a new adult patient. It covers their very first complete physical exam at your clinic.
- 99395: Use this code for a returning adult patient. It covers their routine yearly checkup.
Common Procedures And Services
Primary care doctors do many small procedures. You must bill for every single service you provide.
- 90471: Patients often need shots. Use this exact code when you give a basic vaccine in your office.
- 36415: You draw blood often. This code covers a routine blood draw for lab testing.
- 12001: Accidents happen. Use this code when you repair a simple skin cut or laceration on a patient.
In-Office Diagnostic Codes
You run fast tests right in your office. These helpful tests need correct codes too.
- 93000: Heart health is very important. Use this code when you perform a routine EKG test on a patient.
- 87880: Sore throats are very common in the winter. This code covers a rapid strep test to check for infection.
Protect Your Clinic Revenue
Good billing habits protect your medical practice. You must train your staff on these exact numbers. Print a clear list for your front desk team. Check your codes carefully before sending any claims to insurance. Using the right codes saves everyone time. It prevents stressful fights with health plans. Above all, it lets you focus fully on excellent patient care.
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