Services provided in a partial hospitalization setting would also use these codes
INITIAL HOSPITAL CARE FOR NEW OR ESTABLISHED PATIENT
99221—The three following components are required:
• Detailed or comprehensive history
• Detailed or comprehensive examination
• Medical decision making that is straightforward or of low complexity
Presenting problem(s): Low severity
Typical time: 30 minutes at the bedside or on the patient’s floor or unit
99222—The three following components are required:
• Comprehensive history
• Comprehensive examination
• Medical decision making of moderate complexity
Presenting problem(s): Moderate severity
Typical time: 50 minutes at the bedside or on the patient’s floor or unit
99223—The three following components are required:
• Comprehensive history
• Comprehensive examination
• Medical decision making of high complexity
Presenting problem(s): High severity
Typical time: 70 minutes at the bedside or on the patient’s floor or unit
SUBSEQUENT HOSPITAL CARE
99231—Two of the three following components are required:
• Problem-focused interval history
• Problem-focused examination
• Medical decision making that is straightforward or of low complexity
Presenting problem(s): Patient usually stable, recovering, or improving
Typical time: 15 minutes at the bedside or on the patient’s floor or unit
99232—Two of the three following components are required:
• Expanded problem-focused interval history
• Expanded problem-focused examination
• Medical decision making of moderate complexity
Presenting problem(s): Patient responding inadequately to therapy or has
developed a minor complication
Typical time: 25 minutes at the bedside or on the patient’s floor or unit
99233—Two of the three following components are required:
• Detailed interval history
• Detailed examination
• Medical decision making of high complexity
Presenting problem(s): Patient unstable or has developed a significant new
problem
Typical time: 35 minutes at the bedside or on the patient’s floor or unit
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