Inpatient or Observation Consultations CPT® Code range 99252- 99255

The Current Procedural Terminology (CPT) code range for Inpatient or Observation Consultations 99252-99255 is a medical code set maintained by the American Medical Association.

Subscribe to Codify by AAPC and get the code details in a flash.

CPT® Code Range 99252- 99255
Section 99252-99255
Inpatient or Observation Consultations

October 02, 2023
The Medicare Advantage organization says they are being held to unreasonable standards. Health Net of California Inc. was recently called out by the Office of Inspector General OIG for failing to subm... [ Read More ]
October 02, 2023
Reduce the clutter on your home page with one click. Codify offers a lot of tools on its home page but you dont always want all of them expanded at once. There is a simple way to maximize the tools yo... [ Read More ]
October 02, 2023
Strategies for unlocking a dialogue with physicians. As auditors we bridge the gap between medical coding accuracy and financial stability in healthcare organizations. Its our role to knock on the doo... [ Read More ]
October 02, 2023
Encourage patients to take stock of their relationship with alcohol. From Dry January and Dry July to Sober September and Sober October the monthlong abstinence trend of shunning alcohol has gained gr... [ Read More ]
October 02, 2023
Meet a member who never stops learning and growing. Each month AAPC selects a member who demonstrates exemplary leadership qualities. This month weve chosen Jennifer Lavoie RN CPC. Lavoie has enjoyed ... [ Read More ]
I disagree. Whether or not 99221-99223 is appropriate can depend on the carrier. When CMS eliminated consult codes, their official advice is the admitting bills 99221-99223 with -AI. Physicians who ... [ Read More ]
I am confused on what to do for inpatient consult codes for the first consultation the doctor has with a patient. Some articles say to use 99221-99223 and then some say not to use that but 99251-99255... [ Read More ]
Hi, Patient was admitted on 15/6/2019 and discharge on 16/6/2019 and patient consulted one physician in the morning (99251-99255) and in the evening he was discharge from the hospital(99238-99239). c... [ Read More ]
Hello Fellow Coders I need some assistance with cross walking CPT codes. It was suggested that these codes below are ok to crosswalk one for one. However, I am not an expert in E&M coding. It was m... [ Read More ]
Outpatient consults don't have crosswalk - they just have to be billed as outpatient office visits, new or established, or ER visits, depending on the case. Inpatient consults crosswalk as follows... [ Read More ]
I would check and make sure that your state allows a chiropractor to see patients in an inpatient setting. This may not be in the chiropractor's scope of practice. I would then check with each insur... [ Read More ]
For the experienced billers, can you let me know what the difference in prices are for the new office consult codes 99241-99245 vs new office visit 99201-99205 along initial hospital care 99221-99223 ... [ Read More ]
[b]Consults[/b] Karen, I hope the following helps. You are right about the physician cannot treat the patient in any way, including medications. Otherwise, it is no longer a consult. However, they... [ Read More ]
The below statement is from Supercoder, and it is consistent with my current understanding of the AMA suggestion of use of 99221-99223. That this code range is reported by the admitting physician and ... [ Read More ]
[b]Pub 100-04, chapter 12, section 30.6.9.1[/b] Here is the statement from the above refereneced section - payment for initial hospital care services: [B]Subsequent hospital care CPT codes 99231 and... [ Read More ]