CPT Codes For New Or Established Patient Initial Hospital Inpatient Care Services

Below is a list summarizing the CPT codes for new or established patients’ initial hospital inpatient care services.

CPT Code 99221

CPT 99221 describes initial hospital inpatient or observation care per day for the evaluation and management of a patient that requires a medically appropriate history and/or examination and straightforward or low-level medical decision-making, with a total time on the date of the encounter of at least 40 minutes.

CPT Code 99222

CPT 99222 describes initial hospital inpatient or observation care per day for the evaluation and management of a patient, requiring a moderate level of medical decision-making and a total time of 55 minutes or more on the encounter date.

CPT Code 99223

CPT 99223 describes initial hospital inpatient or observation care per day for the evaluation and management of a patient that requires a medically appropriate history and/or examination and a high level of medical decision-making, with a total time on the date of the encounter of least 75 minutes.

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