Below is a list summarizing the CPT codes for new or established patient initial inpatient consultation services. CPT Code 99252 CPT 99252 describes an inpatient or observation consultation for a new or established patient, requiring a medically appropriate history and/or examination and straightforward medical decision-making, with a total time on the encounter date of at…
Below is a list summarizing the CPT codes for new or established patient office or other outpatient consultation services. CPT Code 99242 CPT 99242 describes an office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision-making, with a total time on the…
CPT code 99245 covers an office or other outpatient consultation service for a new or established patient that requires high-level medical decision-making and at least 55 minutes of total time spent on the encounter on a single date. What Is CPT Code 99245? CPT 99245 describes an office or other outpatient consultation service for a…
CPT code 99243 describes an office or outpatient consultation service that includes a medically appropriate history and/or examination, low-level medical decision-making, and at least 30 minutes of total time spent on the encounter on the service date for a new or established patient. What Is CPT Code 99243? CPT code 99243 can be used to…
CPT 99244 describes an office or outpatient consultation service provided by a healthcare provider to a new or established patient that requires a medically appropriate history and/or examination, a moderate level of medical decision-making, and at least 40 minutes spent on the encounter. What Is CPT Code 99244? CPT code 99244 is used for billing…
You can report CPT 99241 for consultation services provided at the request of another health provider. The three components described by the official description need to be met to bill this code appropriately. The key components are an addition to the procedure’s medical necessity. 1. Description CPT code 99241 is defined by the book of CPT as…
CPT 99251 can be reported for consultation by a provider at the request of another provider. The three key components must be met to report this code and are an addition to the medical necessity. 1. Description CPT Code 99251 is officially describe by the CPT manual as; “Inpatient consultation for a new or established patient,…
CPT 99255 can be billed for consultation services at the request of another provider. This code can only be reported for inpatient consultation if the three components are met. 1. Description CPT Code 99255 is described by the CPT manual as follows: “Inpatient consultation for a new or established patient, requiring three key components: Counseling and/or…
CPT 99252 can be billed for inpatient consultation services provided at another provider’s request. Three key components must be met and are an addition to the medical necessity. 1. Description CPT Code 99252 is defined by the CPT manual as follows: “Inpatient consultation for a new or established patient, which requires these three key components: Straightforward…
99253 CPT code is used to bill inpatient consultation. This is a service provided to a hospital inpatient by a physician whose opinion or another physician or other appropriate source requests advice regarding evaluating and managing a specific problem. This article will help you with proper coding, billing guidelines, modifiers, and reimbursement for 99253 CPT…
