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New or Established Patient CPT® Code range 99221- 99223

The Current Procedural Terminology (CPT) code range for Initial Hospital Inpatient or Observation Care 99221-99223 is a medical code set maintained by the American Medical Association.

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CPT® Code Range 99221- 99223
Section 99221-99223
New or Established Patient
99221
99222
99223
On a CPT® code's hierarchy page, you get to see a medical code's neighbors, including the CPT® codes' official long descriptors. Seeing related codes helps coders choose the correct code, improving their accuracy rate.
Click on a blue code to see a sample of a CPT® code's details page.
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Hospitalist and General Surgeon Visit on same day
Agree with [USER=5404]@thomas7331[/USER]. I will just add if you are billing for both providers using the "initial" inpatient 99221-99223, SOME carriers will only pay 1 provider for the "initial" an... [ Read More ]
Observation/Inpatient Codes for 2023?
[QUOTE="bill2doc, post: 520576, member: 95122"] I'm still so confused on what codes to use. Been using 99221-99223 for inpt and 99218-99220 for Obs. Too much conflicting info to understand what I sh... [ Read More ]
Observation/Inpatient Codes for 2023?
I'm still so confused on what codes to use. Been using 99221-99223 for inpt and 99218-99220 for Obs. Too much conflicting info to understand what I should be using for 2023... [ Read More ]
Observation/Inpatient Codes for 2023?
Hi, thanks for the reply. I've read the AMA guidelines but they don't specify if the new merged codes (99221-99223, 99231-99233) can be used by a provider who is not the admitting physician. I did rec... [ Read More ]
2023 observation cpt codes
[QUOTE="darcy-fortney@uiowa.edu, post: 517965, member: 745965"] I am still unsure what place of service will be required as well. I have been investigating and reaching out to payers directly and mos... [ Read More ]
Same Day Admit/Discharge < 8 hours
I have an inpatient claim with TOB 0111, denied requesting a corrected claim with a code explaining the same date discharge. The patient was admitted inpatient status at 14:50 and discharged at 17:35.... [ Read More ]
Same Day Admit/Discharge < 8 hours cpt99221-99223 cpt99234-99236 samedaydischarge
I have an inpatient claim with TOB 0111, denied requesting a corrected claim with a code explaining the same date discharge. The patient was admitted inpatient status at 14:50 and discharged at 17:35.... [ Read More ]
Consultation Services Question
I'm studying for the CPC exam and according to the 2022 CPC study guide Coding Exam Review by Carol Buck, effective January 1, 2010 CMS no longer recognizes CPT consultation codes 99241-99245 and 992... [ Read More ]
OB questions/profee
[QUOTE="cmcevoy, post: 517224, member: 302459"] I would say: 1/1 Dr A - Admission 99221-99223 1/2 Dr B - C-section 59514 1/3 Dr A - Subsequent hospital 99231-99233 1/4 Dr A - Discharge 99238-99239 If... [ Read More ]
Where can I look to verify a CPT code can be billed in a specific POS setting?
I agree with the previous answer. If there's a non-facility payment for a code you should be in good shape. To build on that a bit, column H of the RVU excel sheet is the non-fac N/A indicator. Accord... [ Read More ]
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