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Hospital Inpatient or Observation Care Services (Including Admission and Discharge Services) CPT® Code range 99234- 99236

The Current Procedural Terminology (CPT) code range for Hospital Inpatient and Observation Care Services 99234-99236 is a medical code set maintained by the American Medical Association.

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CPT® Code Range 99234- 99236
Section 99234-99236
Hospital Inpatient or Observation Care Services (Including Admission and Discharge Services)
99234
99235
99236
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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Practice test question
Yes, you are missing that 99234-99236 currently requires ALL 3 of the components to code that level. Therefore, because your history is detailed, anything higher than 99234 requires a comprehensive h... [ Read More ]
Practice test question practice question test
On practice test number 3 question 17. Part of the question says "Detailed History, Comprehensive Exam, High MDM" I keep getting it wrong because the rationale says that code 99234 is high decision ma... [ Read More ]
Observation coding
Thank you, I understand that part, my question is if admitted by my Provider for Observation on the 17th. We did not see patient on the 17th. My Provider saw patient on the 18th did an H&P and then ... [ Read More ]
Observation for Medicaid/Medicare
Looking for clarification on the below scenario. Pt seen for Observation between 8 hrs. but less than 24 hrs. I know on [B]same date[/B] of service we would use 99234-99236 codes. How would you code... [ Read More ]
Observation with patient seen by resident only on day of admission
A patient was admitted to observation in the evening of Jan 10 by a resident and was not seen by the attending physician until late morning on Jan 11 and was discharged on 1/11. There is one note for... [ Read More ]
admission and discharge on the same day?
Is there specific guidelines for how many hours a patient has to be in observation to use the codes 99234, 99235 or 99236? At one time Medicare specifically stated it had to be a minimum of 8 hours to... [ Read More ]
Aetna E&M Policy
[QUOTE="coop22, post: 453539, member: 227098"] No we are a cardiac surgeons office. We are being denied off other offices under diff NPI's and Diff specialties. To us these are NEW patients. Their ne... [ Read More ]
Hospital Discharge with no exam
Hospital Discharge Day Management (99238-99239) is a face to face service. Here is Medicare info: [URL='https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwiMyOLKsMLxAhX1IjQIHa... [ Read More ]
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CPT guidelines indicate these services are reported only by the admitting/supervising provider; all other providers should report 99231-99233 or 99251-99255. Medicare and some payers may allow provide... [ Read More ]
Prolonged services
[QUOTE="beulastella, post: 488025, member: 222697"] +99356 – Prolonged Services; inpatient or observation setting; first hour +99357 – each additional 30 minutes (list in addition to 99356) Code... [ Read More ]
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