cpt code 99285, cpt 99285, 99285 cpt code

CPT 99285 | E/M | Emergency Department | High Level Medical Decision-Making

CPT 99285 is used for billing for a high level of medical decision-making required in evaluating and managing a patient in the emergency department.

What Is CPT Code 99285?

CPT 99285 describes evaluation and management services for a patient in the emergency department.

Report CPT 99285 if the patient needs examination, and the provider must engage in a high level of medical decision-making to properly manage the patient’s care.

This may include considering many complex issues, reviewing and analyzing a significant amount of data, and considering the potential risks and complications related to the patient’s care.

Description

The CPT book describes CPT code 99285 as: “Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making.”

Procedure

The provider sees a patient in the emergency department for an E/M visit, which involves high medical decision-making.

This means that the provider must consider many complex issues, review and analyze a significant amount of data, and consider the potential risks and complications related to the patient’s care.

The E/M service may also include taking the patient’s medical history and performing a physical examination. The extent of these components will depend on the patient’s specific needs.

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