CPT Codes For New Or Established Patient Initial Inpatient Consultation Services

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 least 35 minutes.

CPT Code 99253

CPT 99253 describes an inpatient or observation consultation for a new or established patient, requiring a medically appropriate history and/or examination and a low level of medical decision-making, with a total time on the date of the encounter of 45 minutes more.

CPT Code 99254

CPT 99254 describes an inpatient or observation consultation for a new or established patient, requiring a medically appropriate history and/or examination and a moderate level of medical decision-making, with a total time on the encounter date of at least 60 minutes.

CPT Code 99255

CPT 99255 describes an inpatient or observation consultation for a new or established patient, requiring 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 at least 80 minutes.