2022 | CPT 99251 – 99255 (New / Established Patient, Inpatient Consultations)

New or Established Patient Initial Inpatient Consultation Services

Be aware that the codes below have been revised on 01-01-2023. The descriptions below are from the previous code descriptions.

CPT 99251 Description (DELETED): A medical provider requests a consult from another provider. Three key components must be met to report CPT 99251 correctly. The three key components are in addition to the medical necessity for performing the procedures when an Evaluation and Management service level is selected for an inpatient consult.

CPT 99252 Description: A medical provider requests a consult from another provider. Three key components must be met to report CPT 99252 correctly. The three key components are in addition to the medical necessity for performing the procedures when an Evaluation and Management service level is selected for an inpatient consult.

CPT 99253 Description: A medical provider requests a consult from another provider. Three key components must be met to report CPT 99253 correctly. The three key components are in addition to the medical necessity for performing the procedures when an Evaluation and Management service level is selected for an inpatient consult.

CPT 99254 Description: A medical provider requests a consultation from another provider. Three key components must be met to report CPT 99254 correctly. The three key components are in addition to the medical necessity for performing the procedures when an Evaluation and Management service level is selected for an inpatient consult.

CPT 99255 Description: A medical provider requests a consult from another provider. Three key components must be met to report CPT 99255 correctly. The three key components are in addition to the medical necessity for performing the procedures when an Evaluation and Management service level is selected for an inpatient consult.

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