Monday, June 19, 2017

Hospital Inpatient Services

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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