CPT^® 99253, Under New or Established Patient

The Current Procedural Terminology (CPT^®) code 99253 as maintained by American Medical Association, is a medical procedural code under the range - New or Established Patient.

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Summary

The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at least 45 minutes of total time on the encounter on a single date.

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View matching HCPCS Level II codes and their definitions.

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Have a question about CPT Code 99253 ? Start a discussion here

Initial Hospital Care codes and Admission to Hospital dates?

We've had an error pop up on some claims in ECW when we use initial hospital care codes on dates that are not the date of admission to a hospital. Should we be using subsequent hospital care codes or ... [ Read More ]

Modifier for 99253 with 2 consults from 2 different specialists

Anthem BC of CA is denying Inpt consultation code 99253. The denial stated "We covered this care as part of another service". I called the customer service dept for Calpers, the representative told ... [ Read More ]

Coding Question (Help)

[QUOTE="jmfarrer, post: 509921, member: 205284"] Have a question for coding a E&M visit for my specialty doctor for a patient in hospital. [/QUOTE] You didn't post what your coding question is, but fr... [ Read More ]

Claim denials from Blue Cross

We have recently been receiving requests from Blue Cross Blue Shield for us to refund money to them. Our doctors cover the pulmonary patients on the floor at our local hospital, we bill for their visi... [ Read More ]

Anthem Commercial Policy of Wisconsin Consultation Codes

Most Recently our office has been sent several recoupment notification from Anthem Blue Cross Blue Shield. The notices state an overpayment exists and Anthem is requesting a refund. The reason for th... [ 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 ]

Renal Angiogram/Renal Stent/Selective Superior Mesenteric Artery Angiogram

[QUOTE="Jim Pawloski, post: 483125, member: 67434"] Sure you can, it a separate vascular family. I agree with your procedural codes. If you are billing for the facility, you can bill 99253 x how long ... [ Read More ]

Renal Angiogram/Renal Stent/Selective Superior Mesenteric Artery Angiogram

Sure you can, it a separate vascular family. I agree with your procedural codes. If you are billing for the facility, you can bill 99253 x how long the sedation was performed. HTH, Jim Pawloski, CIRCC... [ Read More ]

Incomplete procedure note debridement i&d procedure

We are receiving an MUE edit/denial for this visit. Facility side coded: 99253 11043 1unit 11046 [B]32units[/B] Clinical (professional fees) side believes this coding is incorrect - no mention of exc... [ Read More ]

E/M for inpatient consult paging mitchellde thomas7331

When you say level 3, do you mean 99253 or 99223? Just looking quickly, I see that the note above is missing a review of systems, and for a consultation or initial visit, you are not going to be abl... [ Read More ]

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