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New or Established Patient 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.

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CPT® Code Range 99252- 99255
Section 99252-99255
New or Established Patient
99252
99253
99254
99255
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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Orthopedic consults
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 ]
Inpatient consult codes 99221 99222 99223 99251 99252 99253 99255 consultaion inpatient consult inpatient consultation
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 ]
E/M Inpatient Consultation
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 ]
Crosswalking E&M Codes
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 ]
crosswalk E/M codes
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 ]
Inpatient Chiropractor E/M
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 ]
Reimbursement for consult codes vs medicare new office/hospital eval codes
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 ]
Looking for Consult Rules
[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 ]
Initial Consult or Subsequent Hospital Visit??
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 ]
Initial Hospital Services that don't meet 99221
[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 ]
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