CPT procedure code

99219

Medicare payment

—

No national Medicare fee schedule we hold prices 99219. CMS fee schedules ↗

Code definition

Code

99219

Code system

CPT (Current Procedural Terminology)

This CPT code is not in our curated reference. CPT codes are maintained by the American Medical Association (AMA). Full descriptions require an AMA license.

Policy activity for CPT 99219

CLV Intelligence is tracking 1 policy change that cite CPT 99219 most recently on 2026-09-12, drawn from 1 LCD/NCD coverage update. The changes span Outpatient.

LCD/NCD coverage update: 1

Counts reflect the source documents CLV has matched to CPT 99219 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.

Policy changes matched to 99219

Matched to this code by CLV analysis of each policy. The linked source document is authoritative.

LCD L34552: Outpatient Observation Bed/Room Services — Palmetto GBA

Outpatient · LCD-L34552

Government source· CMS / MACverify ↗

Low

Full analysis available with a CLV subscription.

View alert

Audit documentation

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Related CPT codes (992xx)

99202E/M

Office/outpatient visit, new patient, low complexity

99203E/M

Office/outpatient visit, new patient, moderate complexity

99204E/M

Office/outpatient visit, new patient, moderate-high complexity

99205E/M

Office/outpatient visit, new patient, high complexity

99211E/M

Office/outpatient visit, established patient, minimal