Wednesday, June 28, 2017

INPATIENT CONSULTATIONS

99251—The three following components are required:
 • Problem-focused history
 • Problem-focused examination 
• Medical decision making that is straightforward 

Presenting problem(s): Self-limited or minor 
Typical time: 20 minutes at the bedside or on the patient’s floor or unit

99252—The three following components are required: 
• Expanded problem-focused history 
• Expanded problem-focused examination 
• Medical decision making that is straightforward

 Presenting problem(s): Low severity 
Typical time: 40 minutes at the bedside or on the patient’s floor or unit 

99253—The three following components are required:
 • Detailed history 
 • Detailed examination
 • Medical decision making of low complexity

 Presenting problem(s): Moderate severity 
Typical time: 55 minutes at the bedside or on the patient’s floor or unit

 99254—The three following components are required: 
• Comprehensive history 
• Comprehensive examination 
• Medical decision making of moderate complexity 

Presenting problem(s): Moderate to high severity 
Typical time: 80 minutes at the bedside or on the patient’s floor or unit 

99255—The three following components are required: 
• Comprehensive history
• Comprehensive examination
• Medical decision making of moderate complexity 

Presenting problem(s): Moderate to high severity 
Typical time: 110 minutes at the bedside or on the patient’s floor or unit 

Emergency Department Services

No distinction is made between new and established patients in this setting. There are no typical times provided for emergency E/M services

99281—The three following components are required: 
• Problem-focused history 
• Problem-focused examination 
• Medical decision making that is straightforward

 Presenting problem(s): Self-limited or minor 


99282—The three following components are required: 
• Expanded problem-focused history
• Expanded problem-focused examination
• Medical decision making of low complexity 

Presenting problem(s): Low or moderate severity

99283—The three following components are required: 
• Expanded problem-focused history 
• Expanded problem-focused examination
• Medical decision making of moderate complexity

 Presenting problem(s): Moderate severity 

99284—The three following components are required: 
• Detailed history 
• Detailed examination 
• Medical decision making of moderate complexity 

Presenting problem(s): High severity 

99285—The three following components are required:
 • Comprehensive history 
 • Comprehensive examination 
 • Medical decision making of high complexity 

Presenting problem(s): High severity and pose(s) an immediate and significant threat to life or physiological function 

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