CPT Codes For Subsequent Hospital Care Services

CPT 99231

CPT code 99231 is used for subsequent hospital inpatient or observation care.

This code is used for the evaluation and management of a patient who requires a medically appropriate history and/or examination and straightforward or low level of medical decision making.

To use this code, the total time on the date of the encounter must be at least 25 minutes.

CPT 99232

CPT code 99232 is used for subsequent hospital inpatient or observation care.

This code is used for the evaluation and management of a patient who requires a medically appropriate history and/or examination and moderate level of medical decision making.

To select this code, the total time on the date of the encounter must be at least 35 minutes.

CPT 99233

CPT code 99233 is used for subsequent hospital inpatient or observation care, per day.

This code is used for the evaluation and management of a patient who requires a medically appropriate history and/or examination and high level of medical decision making.

To select this code, the total time on the date of the encounter must be at least 50 minutes.

For services of 65 minutes or longer, code 99418 should be used instead.

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