Family Practice CPT Codes for 2023 + Modifiers

Accuracy in the medical billing world is essential, since if a family medical practice has inaccurate claims, they could be denied. Billing accuracy not only eliminates the risk of delays and denials but also increases the claims a family practice is able to collect.

Family Practice CPT Code Ranges in 2023

Understand the family practice 2023 CPT code changes or updates:

• 99213 – stable chronic condition meeting, 15 minutes
• 99391 – established patient preventative visit, age less than 1
• 99392 – established patient preventative visit, ages 1-4
• 99393 – established patient preventative visit, ages 5-11
• 99394 – established patient preventative visit, ages 12-17
• 99395 – established patient preventative visit, ages 18-39
• 99396 – established patient preventative visit, ages 40-64
• 99397 – established patient preventative visit, ages 65 and over
• 99381 – new patient preventative visit, age less than 1
• 99382 – new patient preventative visit, ages 1-4
• 99383 – new patient preventative visit, ages 5-11
• 99384 – new patient preventative visit, ages 12-17
• 99385 – new patient preventative visit, ages 18-39
• 99386 – new patient preventative visit, ages 40-64
• 99387 – new patient preventative visit, ages 65 and over
• 36415 – blood draw venipuncture
• 80061 – lipid panel blood test
• 80048 – basic metabolic panel blood test
• 83036 – hemoglobin A1C

Family Practice Modifiers

Uses modifiers can improve accuracy in medical billing. When a claim is more accurate, claim denials will not end up occurring. These are the updated 2023 family practice modifiers.

• 27 – multiple same-date outpatient services
• 59 – distinct procedural service
• 91 – repeat lab tests
• XE – separate encounter
• XP – separate practitioner
• XS – separate structure
• XU – separate service
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

For informational purposes only.