CPT 99234 – CPT 99236 (Observation Or Inpatient Care Services)
CPT 99234 Description: CPT 99234 may be reported when a patient is admitted to an inpatient status or observation and is discharged on the same day. A minimum of 8 hours and a maximum of 24 hours is included for the inpatient status. Three key components must be used in order to code CPT 99234 correct when the Evaluation and Management service for hospital care or observation is selected. The three components are in addition to the medical necessity for performing the procedure/procedures.
CPT 99235 Description: CPT 99235 may be reported when a patient is admitted to an inpatient status or observation (and is discharged on the same day). A minimum of 8 hours and a maximum of 24 hours is included for the inpatient status.
CPT 99236 Description: CPT 99236 may be reported when a patient is admitted to an inpatient status or observation and is discharged on the same day. A minimum of 8 hours and a maximum of 24 hours is included for the inpatient status. Three key components must be used in order to code CPT 99234 correct when the Evaluation and Management service for hospital care or observation is selected. The three components are in addition to the medical necessity for performing the procedure/procedures.
