OptiMantra Medical Code Definitions
Understand medical codes with our user-friendly code definition pages designed to support accurate charting and billing.

CPT® Code 99385: Initial Preventive Visit for New Adult Patients (Ages 18–39)
CPT® Code 99385 is used to report a comprehensive preventive visit for new adult patients ages 18–39. This article explains when to use the code, what the visit should include, documentation and billing requirements, and how platforms like OptiMantra help providers streamline care delivery. Ideal for primary care and integrative wellness practices offering routine health maintenance visits focused on prevention, lifestyle counseling, and early detection.

CPT® Code 11980: Insertion of Hormone Pellet(s) Subcutaneously
CPT® Code 11980 is used to report the subcutaneous insertion of hormone pellets—a key service in hormone replacement therapy (HRT). This guide covers when to use the code, documentation and billing requirements, and how platforms like OptiMantra support wellness and integrative practices offering hormone therapy. Perfect for medspas, functional medicine, and aesthetics clinics looking to streamline their HRT workflows and improve reimbursement accuracy.

CPT® Code 97813: Acupuncture with Electrical Stimulation – Initial 15 Minutes
CPT® Code 97813 is used to bill for the initial 15 minutes of acupuncture with electrical stimulation, a technique widely used to treat pain, neuropathy, and stress-related conditions. This article explains when to use 97813, how it differs from similar codes, and what documentation is required to meet payer standards. You’ll also see how OptiMantra’s integrative EMR platform streamlines coding, charting, and claims management for acupuncture providers and wellness clinics.

CPT® Code 97124: Therapeutic Massage for Soft Tissue Mobilization
CPT® Code 97124 is used to bill for therapeutic massage aimed at reducing pain, muscle tension, and inflammation. This article explains when to use the code, what documentation is required, and how it differs from similar codes like 97140. You'll also discover how OptiMantra’s all-in-one platform supports proper coding, note-taking, and claims processing for massage therapy within integrative and rehabilitative care settings.

CPT® Code 90836: 45-Minute Psychotherapy with Evaluation and Management Services
CPT® Code 90836 is essential for providers delivering 45-minute psychotherapy sessions alongside evaluation and management (E/M) services. In this article, we explain when and how to use 90836, what documentation is required, and how payer guidelines affect billing. Plus, discover how OptiMantra’s EMR simplifies documentation and reimbursement for integrated mental health and medical care.

CPT Code 97811: Acupuncture, Each Additional 15 Minutes with Re-insertion of Needles
CPT® Code 97811 is used to report each additional 15-minute acupuncture session involving the re-insertion of needles after the initial treatment billed under CPT 97810. Common in treating chronic pain, migraines, and stress-related disorders, this code reflects continued, one-on-one therapeutic care. In this article, we break down when and how to bill 97811, including time requirements, documentation needs, and billing rules. You’ll also discover how OptiMantra supports acupuncturists with tailored charting templates, built-in time tracking, and multiple-unit billing to ensure accurate reimbursement and streamlined practice management.

CPT Code 90837: Psychotherapy, 60 Minutes with Patient
CPT® Code 90837 is used for individual psychotherapy sessions that last approximately 60 minutes and involve intensive, clinically focused care. Commonly used by therapists treating conditions like depression, anxiety, or PTSD, this code requires at least 53 minutes of face-to-face therapeutic work. In this article, we cover what qualifies for 90837, essential documentation requirements, and billing considerations. You’ll also learn how OptiMantra streamlines the process with therapy-specific templates, telehealth support, and automated charge capture—so mental health professionals can stay focused on patient care.

CPT Code 99211: Office or Other Outpatient Visit for the Evaluation and Management of an Established Patient (Minimal)
CPT® Code 99211 covers low-level E/M services for established patients that don’t require a physician or qualified provider. Often called the “nurse visit” code, it applies to simple, medically necessary encounters like blood pressure checks, wound care follow-ups, or B12 shots—when delivered by clinical staff. This article explains proper documentation, billing rules, and how OptiMantra simplifies 99211 workflows through built-in templates, charge automation, and audit-ready records.

CPT Code 96372: Therapeutic, Prophylactic, or Diagnostic Injection (Subcutaneous or Intramuscular)
CPT® Code 96372 is used for provider-administered therapeutic, prophylactic, or diagnostic injections delivered intramuscularly or subcutaneously. In this article, we explain when to use this code, how to document the service properly, and key billing considerations. You'll also learn how OptiMantra can simplify coding, documentation, and charge capture to help your clinic run more efficiently and ensure clean claims.

CPT® Code 97140: Manual Therapy Techniques (Each 15 Minutes)
CPT® Code 97140 covers manual therapy techniques like joint mobilization, lymphatic drainage, and traction—billed in 15-minute increments of direct, one-on-one care. This guide breaks down appropriate use, documentation standards, billing modifiers, and common scenarios. Discover how OptiMantra helps therapists simplify documentation, streamline claims, and stay compliant with insurance requirements.

CPT® Code 90792: Psychiatric Diagnostic Evaluation with Medical Services
CPT® Code 90792 is used for initial psychiatric evaluations that include medical assessments such as medication management or lab orders. This guide explains who can bill the code, key documentation requirements, and billing rules. Learn how OptiMantra simplifies CPT 90792 documentation, coding, and claim generation for integrated mental health practices.

CPT® Code 90833: Psychotherapy During Evaluation and Management Services
Understanding CPT® Code 90833 is essential for mental health providers who deliver psychotherapy alongside evaluation and management (E/M) services. This guide explains when and how to use the code, documentation requirements, and common billing mistakes to avoid. Discover how Optimantra’s practice management tools streamline the process and boost reimbursement accuracy.

CPT® Code 99202: New Patient Office Visit (15–29 Minutes)
CPT® Code 99202 is used for new patient visits that involve straightforward evaluation and management and require 15 to 29 minutes of provider time. This article explains when to use the code, how to document it accurately based on time or medical decision making, and why it's essential for minor or uncomplicated concerns. Discover how OptiMantra supports efficient, compliant coding for CPT 99202 through built-in time tracking, smart EHR templates, and integrated billing tools that streamline your workflow and improve reimbursement accuracy.

ICD-10 Code 997810: Other Complications of Procedures, Not Elsewhere Classified
ICD-10 Code 997810 is used when a patient experiences a complication related to a medical or surgical procedure that isn’t covered by a more specific code. This article outlines when to use 997810, how to document it correctly, and why precise usage is critical for compliance and reimbursement. See how OptiMantra supports providers with real-time ICD code suggestions, structured complication tracking, and audit-ready documentation to simplify post-procedural care and billing.

CPT® Code 99212: Established Patient Office Visit (10–19 Minutes)
CPT® Code 99212 is used for office or outpatient visits with established patients involving straightforward medical decision making or 10–19 minutes of total encounter time. This article explains when to use the code, key documentation requirements, and examples of qualifying visits. Learn how OptiMantra supports providers with real-time coding guidance, time tracking, and audit-ready documentation to ensure accurate billing and streamlined EHR workflows.

CPT® Code 36415: Collection of Blood by Venipuncture
CPT® Code 36415 is used for the collection of blood specimens via venipuncture for diagnostic or screening purposes. This article covers when to use the code, what documentation is required—including collection site and test details—and how OptiMantra’s EHR platform helps providers streamline coding, improve billing accuracy, and maintain audit-ready records for routine lab services.

CPT® Code 96372: Therapeutic, Prophylactic, or Diagnostic Injection (Subcutaneous or Intramuscular)
CPT® Code 96372 is used for reporting subcutaneous or intramuscular injections given for therapeutic, prophylactic, or diagnostic purposes. This article outlines when to use the code, key documentation requirements, and how OptiMantra’s automated tools support precise coding, integrated billing, and audit-ready records for injectable services in outpatient settings.

CPT® Code 96365: Intravenous Infusion, Therapeutic, Prophylactic, or Diagnostic, Administration of Drugs, Substances, or Biologicals (Up to 1 Hour)
CPT® Code 96365 covers intravenous infusion of a single drug or substance for therapeutic, prophylactic, or diagnostic purposes lasting up to one hour. In this article, we explain appropriate use cases, time and documentation requirements, and how OptiMantra helps providers streamline accurate coding, billing, and compliance. Ideal for outpatient clinics administering IV medications, fluids, or contrast agents.

CPT® Code 96369: Intravenous Infusion, Therapeutic, Prophylactic, or Diagnostic, Administration of Drugs, Substances, or Biologicals
Understanding CPT® Code 96369 is essential for accurately reporting IV infusion therapy for therapeutic, prophylactic, or diagnostic purposes. This article breaks down when to use the code, time and documentation requirements, and the role of proper coding in reimbursement. Discover how OptiMantra supports your practice with automated time tracking, real-time coding suggestions, EHR templates, and audit-ready documentation—ensuring compliance and billing accuracy for every infusion.

CPT® Code 99203: New Patient Office Visit (30–44 Minutes)
CPT® Code 99203 is used for new patient office visits that involve low-complexity decision making or take 30–44 minutes. This article breaks down when to use this code, what documentation is required, and how OptiMantra’s smart EHR tools can simplify coding and billing to help providers stay compliant and get paid faster.

Article: CPT® Code 99204: New Patient Office Visit (45–59 Minutes)
CPT® Code 99204 is used for new patient office visits involving moderate complexity or lasting 45–59 minutes. This article explains when to use the code, key documentation requirements, and how to choose between time-based and MDM-based selection. Plus, discover how OptiMantra’s EHR tools streamline accurate coding, documentation, and billing for CPT® 99204 — helping providers stay compliant and reduce administrative burden.

CPT® Code 99215: Established Patient Office Visit (40–54 Minutes)
CPT Code 99215 applies to established patient visits involving high-complexity medical decision-making or encounters lasting 40–54 minutes. This guide outlines when to use the code, required documentation standards, and how OptiMantra’s EHR and billing tools help healthcare providers code accurately and get reimbursed faster—without the administrative hassle.

Article: CPT® Code 99213: Established Patient Office or Other Outpatient Visit, 20–29 Minutes
CPT Code 99213 is commonly used for established patient visits involving low-complexity medical decision-making or encounters lasting 20–29 minutes. This guide breaks down documentation requirements, time-based coding rules, and how OptiMantra’s integrated EHR and billing tools can help streamline your coding process, improve accuracy, and support better reimbursement outcomes.

CPT® Code 99205: New Patient Office or Other Outpatient Visit, 60–74 Minutes
CPT Code 99205 applies to high-complexity new patient visits lasting 60–74 minutes. This guide breaks down when and how to use the code, key documentation tips, and how OptiMantra helps ensure accuracy, compliance, and proper reimbursement.